Transcription of Medical/Surgical Competency Self Assessment
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Medical/Surgical Competency Self Assessment Experience Directions 0 Not Applicable Please circle a value for each question to provide us and the interested facilities with an Assessment of 1 No Experience your clinical experience. These values confirm your 2 Some Experience (Require Assistance). strengths within your specialty and assist the facility in 3 Intermittent Experience (May Require Assistance). the selection process of the healthcare professional. 4 Experienced (Performs without Assistance). 5 Very Experienced (Able to Teach/Supervise).
Directions Please circle a value for each question to provide us and the interested facilities with an assessment of your clinical experience. These values confirm your
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