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. 2013 Sep 21;13:129. doi: 10.1186/1472-6920-13-129

Table 1.

Replica of a junior doctor assessment form

 
 
Below expected level
 
 
 
Not observed
Borderline
At expected
Better than
    Requires substantial assistance Requires assistance level expected
CLINICAL MANAGEMENT
 
 
 
 
 
1. Clinical Assessment and Patient Management
 
 
 
 
2. Procedural Skills
 
 
 
3. Emergency Management
 
 
 
4. Adverse event identification and risk minimisation
 
Please support these ratings with comments overleaf.
 
 
COMMUNICATION
 
 
 
 
 
5. Interpersonal skills with Patients
 
 
 
6. Team work/Interpersonal skills with others in the health care team.
 
 
 
7. Written communication/Record keeping
 
Please support these ratings with comments overleaf.
 
 
PROFESSIONALISM
 
 
 
 
8. Professional Behaviour (responsive / reflective / ethical)
 
 
 
9. Scholarly Practice (learning / critical thinking)
 
Please support these ratings with comments overleaf.
 
 
10. Doctor’s Role in Society (manager / role model)