REFEREE’S REPORT
VICTORIAN ANATOMICAL PATHOLOGY TRAINING PROGRAM –
NEW APPLICATION
NAME OF APPLICANT
PROFESSIONAL RELATIONSHIP TO APPLICANT
HOW MANY YEARS/MONTHS/WEEKS HAVE YOU
OBSERVED THE CANDIDATE?
ASSESSMENT:
Please indicate rating with a CROSS (X):
(1 = Performance currently falls far short of expected standards for level. 2 =
Performance currently falls short of expected standards for level of training. 3 =
Performance is as expected for level of training.4 = Performance is better than
expected for level of training. 5 = Performance is exceptional )
Criterion
Theoretical knowledge
Learns readily from experience
Initiative
Professionalism to work
Work organisation & time management
Punctuality
Co-operation with medical staff
Ability to relate to other professionals
Communication skills
Teaching skills / commitment to teaching
Team work
Insight as to their boundaries
Ratings
1
2
3
4
GENERAL COMMENTS:
Do you recommend the applicant to this specialist training program: Yes / No (comments above please)
REFEREE’S DETAILS:
Name:
Position:
Date:
/
/
Phone:
Fax:
Email
Please e-mail to (and for any enquiries):
Aleen Nazaretian
Administrative Assistant, Victorian Anatomical Pathology Training Program
The Royal College of Pathologists of Australasia
Email: aleen.nazaretian@rcpa.edu.au
Applications close 31 July 2015
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