08. Elective Block Book 2012-2013 (Ksuhs Batch 2's Conflicted Copy) (Ksuhs Batch 2's Conflicted...

8/12/2019 08. Elective Block Book 2012-2013 (Ksuhs Batch 2's Conflicted Copy) (Ksuhs Batch 2's Conflicted Copy)

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AAnn nn ee xx 11 NNaa tt iioo nn aa ll GGuu aa rrdd HHee aa lltthh AAffffaa iirr ss

KKiinn gg SS aa uu dd BBiinn AAbb dd uu llaa zz iizz UUnn iivvee rr ss iitt yy ffoo rr HHee aa lltthh SS cc iiee nn cc ee ss CCOOLLLLEEGG EE OOFF MMEEDDIICCIINNEE

EELLEECC TTIIVVEE TTEERR MM AAPP PP LLIICC AATTIIOONN FFOORR MM (To be completed and signed by the student and supervisor)

(Must be approved by the Elective Term Committee Coordinator before the start of the Elective Training)

STUDENT DETAILS: Date:

Name of Student:

Student ID No.: Badge No.:

Batch No.: Email: @ksau-hs.edu.sa

ELECTIVE DETAILS:

Inclusive Dates of the Elective

From:

To:

Name of hospital, institution ororganization to which you will beattached:

Address: Department:

Name of Department Head:

Title or Position:

NOTE: PREPARE ONE (1) ELECTIVE TERM APPLICATION FOR EVERY HOSPITAL,DEPARTMENT OR INSTITUTION.

SUPERVISOR S DETAILS:

Supervisor s Name:

Title or Position:

Telephone Number:

Fax Number:

Email Address:

Submit this form to Ms. Manar Al-Mutlaq College of Medicine Academic Affairs

Email [email protected] Ext. 26221

Samer Abdulmoghni Alamri

320701001 4061941

2 alamri001

King Abdulaziz Medical City -Jeddah

King Khalid National Guard Hospital

Hematology

Four weeks

8/6/2014

3/7/2014

April/10/2014
mailto:[email protected]:[email protected]:[email protected]


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ELECTIVE TITLE:

DESCRIPTION OF ELECTIVE TERM: (Minimum of 50 words)

LEARNING OBJECTIVE: (As specific as possible.)

EDUCATIONAL RATIONALE: (Why do you choose/devise this elective minimum 25 words.)

PERSONAL AND PROFESSIONAL DEVELOPMENT THEME: (How will this elective contribute to your personal and professional development?)

Students Signature: Date:

Supervisor s Signature: Date:

Supervisor s Comments:

Approved: Date:

Comments (if any)

Elective Coordinator s Signature:

To use and apply the theoretical knowledge of different haematological aspects, including history,physical exams, and investigations by being exposed to real patients.

To develop the skills required to interpret haematological, blood, and biochemical lab reports

This experience will provide a great opportunity to gain the skills, knowledge, and attitude thatare required to work in a professional health care environment. However, being exposed to thehospital, patients, and other health care staff before the clinical years will be a great advantagein term of how to deal with other thoughts, specialties, personalties, and with people from

different origins.

I chose the hematology department in the summer elective beacuse I found that I have an interest inthe different topics related to hematology, such as blood disorders, malignancies, inheriteddiseases, lab works, and blood banks. In addition, I am trying to find out the specialty that I willcontinue to work and learn about for my entire life, and the hematology is one of the specialities thatI think about.

4 weeks elective course in the hematology department in King Khalid National Guard Hospital and

the Oncology center in King Abdulaziz Medical City, Jeddah. The course will include theapplication of a variety of skills required to approach patients with hematological disorders like,history taking, physical examination, and laboratory interpretation.


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AAnn nn ee xx 22 Assessment Form

ITEM Poor 74< Fair

75-80 Good 81-85

V. Good 86-90

Excellent 91-100

KNOWLEDGE 1 Knowledge of Basic Science

2 Knowledge of Clinical Science

SKILLS

3 History Taking

4 Physical Examination

5 Interpretation & Utilization of Information

6 Clinical Judgment

7 Organization of Work 8 Emergency Care

9 Professional and Technical Skills

ATTITUDE

10 Scientific Interest and Activity

11 Responsibility & Self-Assessment

12 Discipline and Punctuality

13 Patient Relation

14 Inter-Professional Relationships

15 Global Evaluation of Competence & Progress

TOTAL SCORE Divide by 15 = (GENERAL )

(AVERAGE) %

Add 1-15

SUPERVISOR S COMMENTS (Including needs for special attention.)

Supervisor s Signature: Date:

Note to Supervisor: Please return this form in a sealed envelope to: MS. MANAR AL-MUTLAQ King Saud Bin Abdulaziz University for Health Sciences College of Medicine - Academic Affairs Mail Code 6556 P.O. Box 9515 Jeddah 21423 K.S.A. (Tel. 02-6240000 Ext. 26221)


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KKiinn gg SS aa uu dd BBiinn AAbb dd uu llaa zz iizz UUnn iivvee rr ss iitt yy ffoo rr HHee aa lltthh SS cc iiee nn cc ee ss CCOOLLLLEEGG EE OOFF MMEEDDIICCIINNEE

SS TTUUDDEENNTTSS EELLEECC TTIIVVEE RR EEPP OO RR TT (To be completed by the student after the elective program.)

STUDENT DETAILS: Date: Name of Student:

Student ID No.: Badge No.:

Batch No.: Email: @ksau-hs.edu.com

Elective Site:

Elective Date: From: To:

Department:

Supervisor: Position:

ELECTIVE TITLE

LEARNING OBJECTIVES

ELECTIVE DESCRIPTION

Email the completed form to: MS. MANAR AL-MUTLAQ [email protected]


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17

ELECTIVE REPORT (Not less than 1500 words)


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KKiinn gg SS aa uu dd BBiinn AAbb dd uu llaa zz iizz UUnn iivvee rr ss iitt yy ffoo rr HHee aa lltthh SS cc iiee nn cc ee ss CCOO LLLLEEGG EE OO FF MMEEDDIICCIINNEE

SS TTUUDDEENNTTSS EEVVAALLUUAATTIIOONN OO FF TTHHEE EELLEECC TTIIVVEE Name of Student:

Badge No.: Date:

Supervisor:

Hospital/Institution:

Department:

LEARNING OBJECTIVES (as defined in the Elective Term Application)

BLOCK DURATION

1 How many weeks long was your elective?

2 How many hours per week were you on site (average)?

ACTIVITIES DURING THE ELECTIVE

3 Your main focus during the Elective program

was:

(Please choose 1)

Clinical

Community Work

Research Please describe it briefly.

Very Much Partly Not at all

4 Did you feel that you were part of the team? 5 4 3 2 1

5 Were you actively involved in this activity? 5 4 3 2 1

6 How was your relation with other members of

the working staff (other than the supervisor)? 5 4 3 2 1

7 What were some of the most essentials youve learned from activities or cases of your

elective? Please describe briefly these activities or cases?

Description Explain


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SUPERVISOR / STUDENT RELATIONSHIP

8 How often did you meet with your supervisor per week? (Please check)

All The Time Most of the Time Sometimes Rarely Never

9 How often did your supervisor gave time to explain cases, show instruments anddemonstrate skills, etc.? (Please check)

All The Time

Most of the Time

Sometimes

Rarely

Never

10 As best as you can, please estimate how you spent your time during the elective, generally. SN ACTIVITY PERCENT (%)

1 Sitting / Waiting 0 2 Scut work (phoning, filing, etc.) 0 3 Observing service delivery. 0 4 Participating actively in service delivery. 0 5 Providing direct service under supervision. 0 6 Providing service with little or no supervision. 0 7 Other 0

TOTAL 100% SUPERVISOR GRADING

11 Please rate the quality of your supervisor as a clinician-educator. (Please encircle.)

Excellent Very Good Good Fair Poor Knowledge 5 4 3 2 1 Clinical skills 5 4 3 2 1 Communication 5 4 3 2 1 Providing feedback 5

4 3 2 1

Providing assessment 5

4 3 2 1

Involving you in the team 5

4 3 2 1

Overall Rating 5 4 3 2 1

12 Please list in decreasing priority the main strengths of your elective.

1 2 3

13 Please list in decreasing priority the main weaknesses of your elective.

1 2 3

OVERALL ASSESSMENT

14 Please rate the overall quality of your elective as a learning experience?

Excellent Very good Good Fair Unsatisfactory 15 In general, what recommendations would you make for the improvement of the elective program?

THANK YOU FOR YOUR COOPERATION

Email this form to: MS. MANAR AL-MUTLAQ [email protected]


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http://www.smartraveller.gov.au/)http://www.usyd.edu.au/risk/policies/ohs/fieldwork/FieldworkOS.shtml#5)


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mailto:[email protected]:[email protected]


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transport and accommodation makes it even more agreeable to students. Itwasalso worthwhile to see the professionalism of the remote area health workersandexperience the issues the remote health practitioners have to face. Theopportunity to experience the lifestyleand culture of the community wasgood.

Contact: www.ntgpe.org Click on the student link and this should lead you to further informationand

contact details.
http://www.ntgpe.org/http://www.ntgpe.org/http://www.ntgpe.org/http://www.ntgpe.org/

08. Elective Block Book 2012-2013 (Ksuhs Batch 2's Conflicted Copy) (Ksuhs Batch 2's Conflicted...

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