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Name of Medical Staff Practitioner : _____________________________________________________ Name of Proctor / Mentor : ____________________________________________________________
PART 2 : OPPE ( EVALUATION OF COMPETENCE ) I .
Patient Care : Appropriate Care a . Demonstrates caring and respectful behavior when interacting with patients and families . b . Gathers essential and accurate patient information . c . Performs and dictates the H & P and discharge summary in a timely and accurate manner . d . Works collaboratively in a team atmosphere . e . Maintains clinical knowledge and skills . f . Demonstrates proficient and appropriate use of procedural skills , both diagnostic and therapeutic . g . Adheres to medical staff policies and procedures .
� No Concerns
� Concerns / explanation : ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________
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