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  • San Fernando General Hospital Department of Anaesthetics and Intensive Care Formative Assessment Form

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    Ricky Ali
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    This document is a formative assessment form used to evaluate an officer's performance in anaesthesia and intensive care. It records information such as the assessor's name and signature, date of assessment, type of assessment (direct observation, clinical evaluation, or case-based discussion), clinical setting, case category and complexity, examples of good practice, areas requiring improvement, focus of further learning, and special topics of discussion. The form provides structure for feedback to help officers improve their skills and knowledge in procedural, clinical, and case-based areas of anaesthesia and intensive care.

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    This document is a formative assessment form used to evaluate an officer's performance in anaesthesia and intensive care. It records information such as the assessor's name and signature, date of assessment, type of assessment (direct observation, clinical evaluation, or case-based discussion), clinical setting, case category and complexity, examples of good practice, areas requiring improvement, focus of further learning, and special topics of discussion. The form provides structure for feedback to help officers improve their skills and knowledge in procedural, clinical, and case-based areas of anaesthesia and intensive care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    17 views1 page

    San Fernando General Hospital Department of Anaesthetics and Intensive Care Formative Assessment Form

    Uploaded by

    Ricky Ali
    This document is a formative assessment form used to evaluate an officer's performance in anaesthesia and intensive care. It records information such as the assessor's name and signature, date of assessment, type of assessment (direct observation, clinical evaluation, or case-based discussion), clinical setting, case category and complexity, examples of good practice, areas requiring improvement, focus of further learning, and special topics of discussion. The form provides structure for feedback to help officers improve their skills and knowledge in procedural, clinical, and case-based areas of anaesthesia and intensive care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    San Fernando General Hospital

    Department of Anaesthetics and Intensive Care


    Formative Assessment Form

    Officer’s name: _______________________

    Assessor: Name: _______________________ Signature: ____________________ Date: __________

    Assessment: Direct observation of procedural skills (DOPS)


    Anaesthesia and Intensive Care clinical evaluation exercise (AI-CEX)
    Case based discussion (CBD)

    Description of case:

    Clinical setting:
    Theatre ICU A&E Other

    Case category:
    ASA Class: 1 2 3 4 5
    Elective Scheduled Urgent Emergency

    Formative assessment only


    [Please see reverse of form for areas to be assessed]
    Examples of good practice were:

    Areas of practice requiring improvement were:

    Further learning and experience should focus on:

    Special focus of discussion:

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