Clinical Internship Records

Level:
Senior Student

Participation Level Legend

Skill

M
*

Abdominal Abdominal
complete

Abdominal Aorta

Abdominal Gallbladder

Abdominal Liver

Abdominal Pancreas &

Gallbladder

Abdominal Urinary

Abdominal Totals
M

Echo Echo Complete

Echo Parasternal Views M

M

Echo Totals
Gynecologic
Endovaginal - Nongravid
Pelvic
Gynecologic
Transabdominal Nongravid Pelvic

5/5
5/5

4.72

01/13/2015 4.78/4.7
+
8
02/02/2015 4.78/4.7
+
8
10/14/2014
5/5
+
01/26/2015
5/5
+
4.89

08/04/2014
+

07/23/2014
4.8/4.8
+

Interventional/Invasive
Totals
Neurosonography
M
Neonatal Head
Neurosonography Totals
Obstetric 1st
TRIMESTER COMP

Obstetric BPP COMP

M
M
M

Obstetric Totals

5/5

4.9

08/04/2014
+
1

5/5
5

11/12/2014 4.89/4.8
+
9
11/12/2014
5/5
+
11/17/2014 4.89/4.8
+
9
11/17/2014
5/5
+
4

Superficial Parts Breast M

Superficial Parts
Testicular

Average
*

10/29/2013
4.6/4.6
+
11/18/2013
5/5
+
02/07/2014
4/4
+

Gynecologic Totals

Obstetric FETAL
MEASUREMENTS COMP
Obstetric PLACENTAL
LOCATION COMP

02/07/2014
+
09/28/2013
+

Echo Appical Views

Echo Subcostal & SSN

Views

Comps *

4.94

06/10/2014
4.8/4.8
+
07/15/2014
4.8/4.8
+

Superficial Parts
Thyroid

Superficial Parts Totals

Vascular Abdominal
Doppler Renal
Vascular Carotid
Doppler

03/21/2014
+
3

M
M

5/5
4.87

07/15/2014
4.8/4.8
+
06/24/2014
4.5/4.5
+

Vascular Dialysis Graft

Vascular Lo.Ex. Arterial
M
Doppler
Vascular Lo.Ex. Venous
M
Doppler

08/08/2014
4.7/4.7
+
03/28/2014
5/5
+

Vascular TIPSS
Vascular Up.Ex.
Venous Doppler

06/19/2014
4.9/4.9
+

Vascular Vein Mapping

Vascular Totals
Intro Comp/Location
Intro Comp/Location

06/15/2013
+

4.78

100/100

06/26/2013
+

Intro Comp/Location
Totals

Intro Comp/Pt Request

Intro Comp/Patient
M
Request
Intro Comp/Pt Request
Totals

100

06/15/2013
+
06/26/2013
+
2

100/100

100

06/15/2013
+
Intro Comp/Machine
Intro Comp/Machine

06/26/2013
100/100
+
07/19/2013
+

Intro Comp/Machine
Totals
Intro Comp/Performance
Intro
M
Comp/Performance
Intro Comp/Performance
Totals
All students total
All students average

100

07/29/2013
100/100
+
1

100

33

27.92

Grand Totals

Average*: Black - the score for the most recent evaluation. Red - the average score for all competencies performed
by the student for the skill.
Total* : The first number is the total number of procedures completed. The second number is the average
participation level. The number in red is the average participation level of the class.
Comps* :
An "*" to the right of a competency evaluation date indicates that the exam was disapproved.
A "+" to the right of the competency evaluation date indicates that it has been validated by faculty.

#S = Simulated
M* = Mandatory