Key Feature Specific Field Note

Assessing Competence in family medicine


Resident:
Assessor:
Setting/Clinical Domain:
Date:


Topic:
Key Feature:
Skill dimension(s):
Phase(s) of the encounter:

Clinical Problem/Case Description:


Feedback given (what was done well / suggestions for improvement):



Signed Resident:   Signed Assessor:  
Date:   Date:  


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