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L e t t e r o f a s s e s s m e n t f o r D r . F O R M T E X T o f F O R M T E X T .
b y D r . F O R M T E X T .
1 . S t a t e t h e n a t u r e o f y o u r p r a c t i c e .
F O R M T E X T
2 . A r e y o u a D i p l o m a t e o f t h e A C V I M ? Y e s F O R M C H E C K B O X F O R M C H E C K B O X _ N o F O R M C H E C K B O X F O R M C H E C K B O X _ I f N o t h e n q u a l i f i c a t i o n s : F O R M T E X T
F O R M C H E C K B O X Oncology FORMCHECKBOX _ FORMCHECKBOX Neurology FORMCHECKBOX _ FORMCHECKBOX Cardiology FORMCHECKBOX _
FORMCHECKBOX Small Animal Internal Medicine FORMCHECKBOX Large Animal Internal Medicine
3. What time period and in what capacity did you supervise the clinical activities of the candidate? If not applicable, write "None" and answer question 5.
FORMTEXT
4 . H o w c l o s e l y d i d y o u s u p e r v i s e t h e c a n d i d a t e ? ( e . g . s e l d o m , d a i l y , o n e a c h c a s e , o n m o r n i n g w a r d r o u n d s , w h e n r e q u e s t e d ) .
F O R M T E X T
5 . W h a t t i m e p e r i o d a n d i n w h a t c a p a c i t y d i d y o u o b s e r v e t h e c a n d i d a t e ' s p r o f e s s i o n a l a n d e d u c a t i o n a l d e v e l o p m e n t ?
F O R M T E X T
6 . I n t e r m s o f p r i m a r y p a t i e n t c a r e r e s p o n s i b i l i t y , h o w m a n y p a t i e n t s w e r e u n d e r t h e e x c l u s i v e c a r e o f t h e c a n d i d a t e d u r i n g t h e p e r i o d o f y o u r s u p e r v i s i o n / o b s e r v a t i o n ? ( C o n s i d e r b o t h i n - p a t i e n t s a n d o u t - p a t i e n t s , a n d w h e t h e r t h e c a n d i d a t e c a r e d f o r p a t i e n t s h a v i n g t h e u s u a l r a n g e o f s e r i o u s i l l n e s s a s d i d o t h e r e x p e r i e n c e d c l i n i c i a n s o n t h e s t a f f . S t a t e n u m b e r s i n t e r m s o f p a t i e n t s p e r w e e k ) .
F O R M T E X T
7 . a . P r o f e s s i o n a l a b i l i t y
U n a b l e t o e v a l u a t e E x c e l l e n t V e r y G o o d S a t i s - f a c t o r y N e e d s I m p r o v e - m e n t U n s a t i s - f a c t o r y 1 . T h e o r e t i c a l k n o w l e d g e F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 2 . A p p l i c a t i o n o f k n o w l e d g e F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 3 . D i a g n o s t i c s k i l l s F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 4 . T e c h n i c a l s k i l l s F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 5 . P a t i e n t c a r e F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 6 . T h o r o u g h n e s s o f c a s e m a n a g e m e n t F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T C o m m e n t s : F O R M T E X T
7 . b . H o s p i t a l s e r v i c e
U n a b l e t o e v a l u a t e E x c e l l e n t V e r y G o o d S a t i s - f a c t o r y N e e d s I m p r o v e - m e n t U n s a t i s - f a c t o r y 1 . C o m p l e t i o n o f d u t i e s F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 2 . Q u a l i t y o f w o r k F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 3 . E m e r g e n c y s e r v i c e d u t i e s F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 4 . C o m m u n i c a t i o n w i t h v e t e r i n a r i a n s F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 5 . C o m m u n i c a t i o n s w i t h c l i e n t s F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 6 . R e f e r r a l l e t t e r s a n d r e c o r d k e e p i n g F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 7 . A c c e p t a n c e o f s e r v i c e & c a s e r e s p o n s i b i l i t i e s F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T C o m m e n t s : F O R M T E X T
7 . c . I n d i v i d u a l c h a r a c t e r i s t i c s
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8 . O n c o l o g y S e r v i c e - P l e a s e e v a l u a t e t h e t h e o r e t i c a l a n d p r a c t i c a l k n o w l e d g e o f t h e f o l l o w i n g d i s c i p l i n e s :
U n a b l e t o e v a l u a t e E x c e l l e n t V e r y G o o d S a t i s - f a c t o r y N e e d s
I m p r o v e - m e n t U n s a t i s - f a c t o r y 1 . C h e m o t h e r a p y F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 2 . S u r g i c a l O n c o l o g y F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 3 . R a d i a t i o n T h e r a p y F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 4 . B i o l o g i c R e s p o n s e M o d i f i e r s F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 5 . E l e c t r o c h e m o t h e r a p y F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 6 . C y t o l o g y / P a t h o l o g y F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 7 . O t h e r s F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T C o m m e n t s : F O R M T E X T
9 . B r i e f l y d i s c u s s p o s i t i v e o r n e g a t i v e a t t i t u d e s / s k i l l s / a t t r i b u t e s t h e c a n d i d a t e p o s s e s s e s , w h i c h a r e n o t e l i c i t e d b y q u e s t i o n s 6 - 8 a b o v e .
F O R M T E X T
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