CS
AN Cp
Please assess and mark
the following domains
NotYet] Borderline | (competent
Competent
(1
@
Professional
«)
Towards the pean)
oes
‘uipmentsndiochece)
Technical aspects of
(wei renin premance
ylld a useful return)
‘Adapts procedure fo
accommodate patient
‘and/or events
Postprecedure
eee,
Sommonieaton and
coneideration towards the
Max (Max possible _/36):[ Suggestions for development (assessor comments);
‘Selfzeflection (fo be comploted by the Intern) - what did you learn from this experience,
eps can you Implement to ensure the next
stents you on cry ren es
wo Ye a eyie procasure youll do mors protsalnal
Patent set up fue 000) but pad)
ee speed
4 wove on adyua
“rgreed Ration (intern and Assessor initial):