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Student Name: ___Date___Observer Name: ___Clerkship: ___Circle One: Attending FellowResidentClerkship week #: ___FOCUS: Feedback and Observation of Clinical (ME) Students PHYSICAL Examples observe
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This document is a form used for recording student-date-observer information.
Students, observers, and dates are required to fill out this document.
The form should be completed by providing accurate student, observer, and date details in the designated fields.
The purpose of this document is to keep track of student observations by designated observers on specific dates.
The information that must be reported includes student details, observer details, and the date of observation.
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