Attitude + Arrogant + Humble + displays Exceptional loyalty + loyalty and integrity. integrity. Behaviour Score Dresses Dresses appropriately. Elegant and well inappropriately groomed. Adheres to ethical Dishonest, plagiarises standards respect, Exemplary ethical – + falsifies records. honesty. behaviour. Ward Mark Comments (Please ensure you give comments): 24 = Pass 32 = 1st Class 1 - 5 6 - 8 9 - 10 Log Book (DP Denied) (DP Granted) Exceptional Tick whichever is appropriate Logbook Poor attendance at intake. Good attendance at Excellent attendance at intake. intake. Score Inadequate number of Good number (5/week) Exceptional number of cases seen. and spread of cases cases seen. clerked. Inadequate number of Good number of Exceptional number of procedures witnessed and presentations (>1/week). procedures witnessed and documented. documented. Witnessed all basic Maximum Mark: 10 procedures. Poor participation in PBL satisfactory. Excellent participation in PBLs. PBLs. Student to complete section below: I have read this evaluation and discussed it with block / ward co-ordinator / supervisor. No. of days missed Date: Student’s Signature: Co-ordinator to complete section below: I am satisfied that the above student has / has not completed the requirements for the block in medicine. Block Co-ordinator’s Signature: Date:
Attitude + Behaviour Score Arrogant + Dresses inappropriately Dishonest, plagiarises + falsifies records. Humble + displays loyalty and integrity. Dresses appropriately. Adheres to ethical standards – respect, honesty. Exceptional loyalty + integrity. Elegant and well groomed. Exemplary ethical behaviour. Ward Mark 24 = Pass 32 = 1st Class Comments (Please ensure you give comments): Log Book 1 - 5 (DP Denied) 6 - 8 (DP Granted) 9 - 10 Exceptional Tick whichever is appropriate Logbook Score Maximum Mark: 10 Poor attendance at intake. Good attendance at intake. Excellent attendance at intake. Inadequate number of cases seen. Good number (5/week) and spread of cases clerked. Exceptional number of cases seen. Inadequate number of procedures witnessed and documented. Good number of presentations (>1/week). Exceptional number of procedures witnessed and documented. Witnessed all basic procedures. Poor participation in PBLs. PBL satisfactory. Excellent participation in PBLs. Student to complete section below: I have read this evaluation and discussed it with block / ward co-ordinator / supervisor. No. of days missed Student’s Signature: Date: Co-ordinator to complete section below: I am satisfied that the above student has / has not completed the requirements for the block in medicine. Block Co-ordinator’s Signature: Date:
20156weekblockGEMPIVLogbook.docx