DAILY 2-WAY COMPETENCY EVALUATION: MEDICATION ABORTION (MAB)
Trainee Name: Trainer Name: Date:
TRAINER
| Beginner (B): Limited fund of knowledge; requires constant assistance and supervision.
Advanced Beginner (AB): Developing independent thinking. Requires intermittent assistance. Knows limits and seeks guidance as needed. Developing Competence (DC): Developing independent thinking. Needs intermittent assistance; knows limits, seeks guidance as needed; Competent (C): Needs occasional assistance. Knows limits, seeks guidance as needed. Asks appropriate questions to advance understanding and technique. Advanced Competence (AC): No observation required. Rare assistance. Knows limits, seeks guidance as needed. Discusses complex cases with a trainer. |
N/A | B | AB | DC | C | AC |
| Trainee’s ability to assess MAB eligibility | ||||||
| Appropriate person-centered counseling: attention to patient preferences, questions, concerns. Thorough informed consent process & anticipatory guidance | ||||||
| Provides/prescribes all medications, including for pain, symptom management | ||||||
| Ability to provide appropriate post-mab care (follow-up,contraception provision, etc.) & identify potential problems/risks of complications. Asks for assistance as needed | ||||||
| Current level of confidence in my ability to safely provide this care independently |
Comments/Examples:
– – – – -Trainer complete, fold here, give to Trainee to complete, then open & discuss – – – – –
TRAINEE
| Beginner (B): Limited fund of knowledge; requires constant assistance and supervision.
Advanced Beginner (AB): Developing independent thinking. Requires intermittent assistance. Knows limits and seeks guidance as needed. Developing Competence (DC): Developing independent thinking. Needs intermittent assistance; knows limits, seeks guidance as needed; Competent (C): Needs occasional assistance. Knows limits, seeks guidance as needed. Asks appropriate questions to advance understanding and technique. Advanced Competence (AC): No observation required. Rare assistance. Knows limits, seeks guidance as needed. Discusses complex cases with a trainer. |
N/A | B | AB | DC | C | AC |
| My ability to assess patient eligibility for MAB | ||||||
| My ability to provide person-centered counseling, informed consent, and anticipatory guidance | ||||||
| My ability to provide/prescribe medications including those for pain, symptoms | ||||||
| My ability to provide appropriate post-MAB care (follow-up, contraception problem/risks identification). I ask for assistance as needed | ||||||
| Current level of confidence in my ability to safely provide this care independently |
- What felt good about today?
- What felt challenging about today?
- What do I want to work on my next training day?
- Is there any specific trainer or facility feedback you want to discuss today?