Car a Oy jSe assess and mark | Not Yet | Borderline | Competent | Professional | N/A following domains | Competent (a) (2) (3) (4) edure (aa ET ae va ‘and organization, including Patient comfort) Professional approach {including communication, Wh Consent and consiaerevon “owarde the patent (or a my ee ‘equipment and tectnique) ‘Technical aspects of procedure (Would technical pertormance "yield useful return) s Scanned with CamScanner‘Suggestions for development (assessor comments): ‘Self-reflection (to 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 professionally: Poe speabiory wy my lorgungerg, mote Far Rody any to ureolsrrrel | Scanned with CamScanner