Place and time of practical training

Day	Date	Working hours	Room	Doctor?s name










Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor
Date	Content of work








































	Signature of a student
	Signature and seal of the Doctor

GENERAL REPORT OF THE PRACTICE

?	Practical skills	Recommended	Result
quantity	level of mastering	quantity	level of mastering
1.	Patients examined at OPD
2.	Patients examined of at home
3.	Filling of medical cards		2-3
4.	Blood pressure measurement
5.	Registrated electrocardiograms		2-3
6.	Interpreted electrocardiograms		2-3
7.	Preparation of individual rehabilitation programs (internal diseases)	5-8	2-3
8.	Preventive medicine - lecture	1-2
9.	Filling of prescriptions (internal diseases)		2-3
10.	Rendering of emergency aid at a pre-hospital stage (in case of hypertensive crisis, an acute coronary syndrome, allergic conditions, a collapse, a bronchial asthma attack)
11.	Other kinds of work

Note: levels of mastering.

1 ? To know the theory, be oriented professionally (corresponds to knowledge).

2 ? To know theoretically, to take part in patient?s examination, treatment, assist (corresponds to skills).

3 ? To know theoretically, to act independently (corresponds to skills).

Activities to promote healthy lifestyles

Date	Title of lecture and conversations	Number of attendees	Signature

Educational research work on the topic ____________________________________________________________________________________________________________________________________________________________________________________________

(the abstract is attached)

Student____________________________________

Head of Department__________________________

Chief Doctor________________________________ Stamp

CHARACTERISTICS

Rules of the internal labor order ______________________________________

Level of theoretical preparation ______________________________________

Mastering of practical skills minimum _________________________________

Attitude to duties __________________________________________________

Knowledge of prescriptions of the most used medicines ________________________________________________________________

Observation of deontological norms ___________________________________

Relations with patients _____________________________________________

Participation in social life of _________________________________________

community_______________________________________________________

Discipline ________________________________________________________

Communication ___________________________________________________

Personal qualities __________________________________________________

Interests _________________________________________________________

Remarks _________________________________________________________

Mark ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Chief Doctor___________________

The instructor___________________ Stamp

Appendix 1

Date: 2016-06-12; view: 301

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