IMG Observer Placement Feedback

Your Name *

Your Role

• Registrar
• Consultant

feedback domains,

Observer's Name *

Feedback relates to

• ED
• Medical Wards

Do you think they would be able to manage as a PGY2 resident if they were employed by Northern Health? *

• Yes
• No

Please comment on the following domains, things they are doing well, things they could improve on ect:

Clinical Management *

Communication *

Professionalism *

Safe Practice *

IT/systems *

Other Feedback *

Your feedback will be collated with other feedback anonymously and included as part of the IMG Supervisors feedback review meeting.

Submit