‘Suggestions for development (assessor comments):
Self-refiection (to be completed by the intern) - what did you leam 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:
Neco! 4 become more
with contdvarnccaton 4 pur forn
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Page 2 of 2the following domains
Please assess and mark | _ Not Yet
‘Competent
a)
Borderline
@)
‘Competent
3)
Professional
NIK
uipment set up
inctding
‘atlont comfort)
Ss
4)
“including communication,
Consent and consideration
towards the peient)
‘Knowledge
(0f indications, anatomy,
‘equipment and technique)
‘Technical aspects of
Procedure
(Would ‘echnical performance
yield a useful return)
‘Adapts procedure to
accommodate patient
and/or events
SSS eles
Max (Max possible _/36):
ge ale ee. ey a a