EDUCATIONAL AGREEMENT Enhanced ICU教育提高ICU協(xié)議

1、.EDUCATIONAL AGREEMENT (Enhanced ICU training)Trainee:Attachment: Hospital & ICU:Date: Duration of attachment: OBJECTIVESAssessments to be completed:Minimum number of Assessments over course of Enhanced Training year: MSF x2, DOPS x1, CEX x2, CBD x4, Diploma in ICMProgramme ComponentNo of Assess

2、mentsComments Already completed prior to this attachment as part of enhanced trainingPlannedDoneEnhanced Training CompetenciesMSFCEX 1CEX 2DOPS 1CBD 1CBD 2CBD 3CBD 4DiplomaClinical management:Practical procedures:ICU management:Examinations:Audit, research, presentations:Teaching: Assessments to be

3、held at: monthsI agree to complete and keep up-to-date the appropriate training documents relevant to this ICM attachment and that the result of any assessment of this attachment can be passed to my next training supervisor. Date of review of progress in achieving education goals:Signature Trainee:

4、.Signature Trainer: .TRAINEE APPRAISALTrainee:Attachment: Hospital & ICUDate:ST year:Duration of attachment:Review of Educational Agreement:Trainees concerns:Feedback to trainee:Progress with ETR:Educational objectives:Date of next appraisal:Signature Trainee:Signature Trainer:END OF ATTACHMENT TRAINEE ASSESSMENTTrainee:Attachment: Hospital & ICUDate:ST year:Duration of attachment:ETR Review:Achievements during attachment:i) Competencies:ii) Audit, Research, Presentations:iii) OtherOverall assessment of trainee:Areas for development dur