TRAINEE EVALUATION FORM
Trainer Name
Trainee Name
Date
Which shadowing shift is this for trainee?
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Choosing the correct template
1
2
3
4
Removing greet time
1
2
3
4
Completing HPI correctly
1
2
3
4
Completing ROS (W/ phrase)
1
2
3
4
Marking reviewed and none or all that apply on the risk factors
1
2
3
4
Completing Past hx/Social hx
1
2
3
4
Completing the exam correctly
1
2
3
4
Communicating with the physician
1
2
3
4
Spelling
1
2
3
4
Adding scribe attestation
1
2
3
4
Completing procedure notes
1
2
3
4
Inputting Lab/Rad attestations
1
2
3
4
Inputting EKG's/rhythm strip with phrase
1
2
3
4
Putting in re-eval/progress notes
1
2
3
4
Documenting admit/consult calls
1
2
3
4
Inputting clinical impressions
1
2
3
4
Signify dispo time and stamping it
1
2
3
4
Do you feel like they are ready to be on their own yet?
Any other comments?
Submit
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