Comments: Name of supervisor: _____________________________ Signature: ____________________________ Week 2: Was the resident punctual? Y N Was the resident adequately prepared for their encounter in your Y N environment (i.e. appropriate dress, basic knowledge about service/program, pre-reading completed where applicable)? Did you consider this resident appropriate and professional to your Y N environment throughout this encounter (ie. interacting with program staff in an appropriate and culturally sensitive manner)? Did the resident seem interested and engaged throughout your encounter Y N together? Did the resident appropriately interact and communicate with patients, Y N clients, and team members Comments: Name of supervisor: _____________________________ Signature: ____________________________ City of Hamilton Community Dental Team Administrative Contact: Kim Stowe (kim.stowe@hamilton.ca) Resident Contact: Kim Stowe (kim.stowe@hamilton.ca) 905 546 2424 ext 3793 for Kim or ext 2974 for Cindy (backup) Clinic times: Friday mornings often or variable for school clinics Description:
Comments: Name of supervisor: _____________________________ Signature: ____________________________ Week 2: Was the resident punctual? Y N Was the resident adequately prepared for their encounter in your environment (i.e. appropriate dress, basic knowledge about service/program, pre-reading completed where applicable)? Y N Did you consider this resident appropriate and professional to your environment throughout this encounter (ie. interacting with program staff in an appropriate and culturally sensitive manner)? Y N Did the resident seem interested and engaged throughout your encounter together? Y N Did the resident appropriately interact and communicate with patients, clients, and team members Y N Comments: Name of supervisor: _____________________________ Signature: ____________________________ City of Hamilton Community Dental Team Administrative Contact: Kim Stowe (kim.stowe@hamilton.ca) Resident Contact: Kim Stowe (kim.stowe@hamilton.ca) 905 546 2424 ext 3793 for Kim or ext 2974 for Cindy (backup) Clinic times: Friday mornings often or variable for school clinics Description:
SocialPediatricsHandbookAugust2016.docx