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PERPETUAL SUCCOUR HOSPITAL

POST GRADUATE INTERNSHIP TRAINING 2020 - 2021

CHECKLIST OF MINIMUM COMPETENCIES


DEPARTMENT OF INTERNAL MEDICINE

Name: __________________________________ Group: _____ Rotation Dates: __________________________ PGI Monitor: ________________________

Signature Over Printed Name of


Case Initial / Supervised
Procedure Performed Diagnosis Monitor /Resident-in-Charge /
Hospital No. (Yes or No) Consultant
ABG READING

1 Date:

2 Date:

3 Date:

4 Date:

5 Date:

6 Date:

7 Date:

8 Date:

9 Date:

10 Date:
PERPETUAL SUCCOUR HOSPITAL
POST GRADUATE INTERNSHIP TRAINING 2020 - 2021

CHECKLIST OF MINIMUM COMPETENCIES


DEPARTMENT OF INTERNAL MEDICINE

Name: __________________________________ Group: _____ Rotation Dates: __________________________ PGI Monitor: ________________________

Signature Over Printed Name of


Case Initial / Supervised
Procedure Performed Diagnosis Monitor /Resident-in-Charge /
Hospital No. (Yes or No) Consultant
ECG READING

1 Date:

2 Date:

3 Date:

4 Date:

5 Date:

6 Date:

7 Date:

8 Date:

9 Date:

10 Date:
PERPETUAL SUCCOUR HOSPITAL
POST GRADUATE INTERNSHIP TRAINING 2020 - 2021

CHECKLIST OF MINIMUM COMPETENCIES


DEPARTMENT OF INTERNAL MEDICINE

Name: __________________________________ Group: _____ Rotation Dates: __________________________ PGI Monitor: ________________________

Signature Over Printed Name of


Case Initial / Supervised
Procedure Performed Diagnosis Monitor /Resident-in-Charge /
Hospital No. (Yes or No) Consultant
IV INSERTION

1 Date:

2 Date:

3 Date:

4 Date:
NGT INSERTION

1 Date:

2 Date:
FBC INSERTION (2 Male, 2 Female)

1 Date:

2 Date:

3 Date:

4 Date:
PERPETUAL SUCCOUR HOSPITAL
POST GRADUATE INTERNSHIP TRAINING 2020 - 2021

CHECKLIST OF MINIMUM COMPETENCIES


DEPARTMENT OF INTERNAL MEDICINE

Name: __________________________________ Group: _____ Rotation Dates: __________________________ PGI Monitor: ________________________

Signature Over Printed Name of


Case Initial / Supervised
Procedure Performed Diagnosis Monitor /Resident-in-Charge /
Hospital No. (Yes or No) Consultant
History & PE

1 Date:

2 Date:

3 Date:

4 Date:

5 Date:
OTHERS

1 Date:

2 Date:

3 Date:

4 Date:

5 Date:

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