Discipline of Rural Health - Faculty of Health Sciences - The ...

Placement:
Student Name:
Rotation:
Year 5 Placement Assessment – 2012
MBBS Year 5 – The University of Adelaide
This formal assessment should be completed by the Team Supervisor at the end of the student’s attachment
following discussion of their performance with the unit team. You are asked to make a judgement on
Professional Behaviour.
PROFESSIONAL BEHAVIOUR:
ATTENDANCE:
THIS STUDENT HAS ATTENDED THIS ATTACHMENT SATISFACTORILY
YES � NO � (If ‘NO’ please do not complete any other section of this form).
PARTICIPATION IN CLINICAL ACTIVITIES:
Uninterested in unit
activities; frequently absent
or not punctual. Fails to
engage in discussions even
when prompted. Far below
expected standard for Year
5
Participates only when
prompted; sometimes
absent or unpunctual. Not
actively engaged in patient
discussions unless asked.
Just below expected
standard
Attends most of the time but
may miss some activities.
Not always punctual.
Engages intermittently in
patient discussions. Just
reaches acceptable
standard.
Attends expected unit
activities and engages
actively without requiring
prompting. As expected for
Year 5 student
Attends all unit activities
including out of hours.
Actively seeks learning
opportunities. Contributes
will to patient discussions.
Above expected standard
for Year 5
� � � � �
INTERACTION WITH COLLEAGUES AND HEALTH CARE TEAM:
Uncooperative; does not
acknowledge skills of
others. May at times be
obstructive and unhelpful.
Does not follow directions.
Far below expected
standard for Year 5
Tends to operate as a loner;
does not communicate
appropriately. Needs
reminding to carry out
tasks. Just below expected
standard
Mostly cooperative; works
satisfactorily with medical
team and other disciplines.
Needs reminder at times to
carry out tasks. Just reaches
acceptable standard.
Well liked by colleagues and
peers and communicates
appropriately with all
members of the team. Tasks
performed on time. As
expected for Year 5 student
Highly regarded by all as an
effective and supportive
communicator. Shows good
initiative and leadership
skills. Above expected
standard for Year 5
� � � � �
DOCTOR / PATIENT INTERACTIONS:
Little empathy; lacks respect
for, and ability to
communicate with, patients
and relatives. Far below
expected standard for Year
5
Empathy and
communication skills need
improvement; just below
expected standard
Able to communicate with
patients generally, but has
difficulty when situations are
not straightforward. Just
reaches accepted standard.
Respectful and
communicates adequately
with patient and relatives.
As expected for Year 5
student
Very professional
empathetic; very good
communication skills..
Above expected standard
for Year 5
� � � � �
ORGANISATION AND TIME MANAGEMENT SKILLS:
Unable to establish
priorities. Disorganised.
Tasks often not completed.
Not reliable. Far below
expected standard for Year
5
Difficulty in establishing
priorities; poorly organised.
Tasks not always
completed. Sometimes
unreliable. Just below
expected standard
Able to establish priorities
on some occasions; attempts
to complete tasks on time.
Just reaches accepted
standard.
Good at establishing
priorities; generally
completed tasks on time.
Generally reliable. As
expected for Year 5 student
Excellent time
management. Ensures tasks
are always completed.
Above expected standard
for Year 5
� � � � �
ETHICS AND INTEGRITY:
Fails to uphold professional
and ethical standards. Far
below expected standard
for Year 5
Some serious doubts about
professional and ethical
standards. Just below
expected standard
Generally adheres to
professional and/or ethical
standards, with some minor
concerns. Just reaches
accepted standard.
No concerns regarding this
students understanding of
and adherence to ethical
and professional standards.
As expected for Year 5
student
Able to handle difficult
ethical situations.
Exemplary professional
behaviour. Above expected
standard for Year 5
� � � � �
Assessor’s signature:.............................................Assessor’ssurname:.............................................................Date:.........../........../..............
Please return to your Student Coordinator
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