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Specimen item
| Leadership |
| There is leadership if one or more senior doctors (consultant, GP, registrar) take responsibility for your education |
| Please rate your agreement (0 = strongly disagree; 3 = neither agree nor disagree; 6 = strongly agree) with this statement: There was leadership of this placement |
| Please add comments to either or both of the next two boxes |
| Strengths of leadership were … |
| (Free text box) |
| Weaknesses or ways leadership could be improved were… |
| (Free text box) |
