Inter-Collegiate Board for Training in Pre-Hospital Emergency Medicine Simulator Exercise (SIM) Training Phase: Trainee name: Assessor name: Registration no: Grade of assessor: Date Clinical scenario observed Curriculum elements covered Formative? Summative? Please TICK to Demonstrates indicate the Further core good practice standard of the Not observed learning Demonstrates excellent practice trainee’s needed Must Should performance in address address each area learning learning Initial operational approach Initial clinical approach History and information gathering Examination Clinical decision making and judgment Communication with patient, relatives, staff Overall plan Adherence to Good Medical Practice Inter-Collegiate Board for Training in Pre-Hospital Emergency Medicine Mini-Clinical Evaluation Exercise (CEX) (cont.)
Inter-Collegiate Board for Training in Pre-Hospital Emergency Medicine Simulator Exercise (SIM) Trainee name: Training Phase: Assessor name: Registration no: Grade of assessor: Date Clinical scenario observed Curriculum elements covered Formative? Summative? Please TICK to indicate the standard of the trainee’s performance in each area Not observed Further core learning needed Demonstrates good practice Demonstrates excellent practice Must address learning Should address learning Initial operational approach Initial clinical approach History and information gathering Examination Clinical decision making and judgment Communication with patient, relatives, staff Overall plan Adherence to Good Medical Practice Inter-Collegiate Board for Training in Pre-Hospital Emergency Medicine Mini-Clinical Evaluation Exercise (CEX) (cont.)
sim-temp-1.docx