Improving performance action plan (IPAP) The purpose of this form is to aid in documenting the remediation process for interns. This form is to be completed by supervisors in consultation with the Director of Clinical Training to address identified issues that require remediation. The supervisor must indicate the intern outcome statements that the issues relate to, and complete the form with appropriate detail to assist the intern with remediation. Please to the guidelines, Intern training Assessing and – certifying completion, pages 3-5 for further information on remediation. Intern details Term details Intern name From: (dd/mm/yyyy) AHPRA registration no. To: (dd/mm/yyyy) Term name/number Term supervisor details Organisation and department / Term supervisor name: unit term undertaken AMC intern outcome statement Issues related to specific outcome statement Actions/tasks Timeframe Review (E.g. intern outcome statement 2.1) date(s)
Improving performance action plan (IPAP) The purpose of this form is to aid in documenting the remediation process for interns. This form is to be completed by supervisors in consultation with the Director of Clinical Training to address identified issues that require remediation. The supervisor must indicate the intern outcome statements that the issues relate to, and complete the form with appropriate detail to assist the intern with remediation. Please to the guidelines, Intern training – Assessing and certifying completion, pages 3-5 for further information on remediation. Intern details Intern name AHPRA registration no. Term supervisor details Term supervisor name: Term details From: (dd/mm/yyyy) To: (dd/mm/yyyy) Term name/number Organisation and department / unit term undertaken AMC intern outcome statement (E.g. intern outcome statement 2.1) Issues related to specific outcome statement Actions/tasks Timeframe Review date(s)
d14e79e6ec82fdc28af0146da04d12098c74510f_original.docx