MCSO/OSU-CHS
MCSO/OSU-CHS

ANESTHESIA

Rotation Dates

Lichert Scale 1=poor 3=average 5=excellent

CORE COMPETENCY EVALUATION
Did the intern / resident demonstrate Osteopathic Skills during this rotation?  
Did the Intern/Resident demonstrate adequate medical knowledge during this rotation?  
Did the intern / resident demonstrate professionalism during this rotation?   
Did the Intern / Resident demonstrate adequate interpersonal and communication skills during this rotation?   
Did the Intern / Resident demonstrate adequate patient care skills for their level of training?  
Did the Intern demonstrate adequate use of resource materials during this rotation?   
Did the Intern / Resident demonstrate punctuality?  
ROTATION SPECIFIC QUESTIONS  
 12345UE
Ability to use mask ventilation
Ability to perform endotracheal intubation
Placement of peripheral IV
Placement of central lines
Knowledge of pharmacology of anesthia
Understands emergency airway management
Basic use of anesthesia machine

ROTATION SPECIFIC COMMENTS

Signature of Evaluator  
 
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