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Not Yet | Borderline | Competent | Professional | ia Please assess and mark the following domains | Competent a) @ 3) on ‘Pre:prosedure rooms ave patient amon) ea ‘Professional approach reading communion ee “towards the pate) Knowiedas (or viaestons, enstoms, = iiiert on tscnncp) Technical aspects of — res See mance ysl «useful return) ‘Adapts procedure to accommodate patient e ‘and/or events, Post-procedure ent (Ritineryane, | SSinmonteation and concideration towards the I Max (Max possible _/36): Total a prea Ad pA pAnrt - [ Suggestions for development (assessor comments): oe Lanprere wow ow Cras + stevbi ly nut Hae Wee a Vg [-Seitrefiection (to be completed by the Intern) - what did you lear from this experience, what would you do differently next ti ime. What steps can you Implement to ensure the next time you perform this procedure you will do It more professionally: | behere te epeoo! of m aul wana re Unprov Wg | need’ fo COrquce i i. iy gtablaachor 4 ie, J + thrusting eg tes og” shou low “greed Aetion (intern and Assessor Trial): Page 2 0f2.

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