Ets
Please assess and mark] Not Yet | Borderline | Competant | Profe
the following domains | Competent eee
(4) 2) 3) (4)
3
(Of indleations, anstomy,
equipment and technique)
Technical aspects of
(Would technical performance
Total Max (Max possible /36): /
‘Comments:
Goro histy nee hone—f{—
[ Suggestions for development (assessor comments):
be cored wt b fins Guevtous he inveh
fe peteras ~ Coches opm quAums 4
Cmvonuton Come he Wy rey.
FT Guat hi try Liep aikiry dete Gueatians.
Seifefiection (fo be completed by the intern) — what did you learn from this experience,
what would you do differently next time. What steps can you Implement to ensure the next
time you perform this procedure you will do It more profess
- Learnt the wr,
‘greed Action (intern and Assessor initial):
a)
i make sure nof to Anserer
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