Student:

UNIVERSITY of ARKANSAS for MEDICAL SCIENCES
COLLEGE OF HEALTH RELATED PROFESSIONS - DEPARTMENT of RADIOLOGIC TECHNOLOGY
DIAGNOSTIC MEDICAL SONOGRAPHY PROGRAM
Student Competency Evaluation ©2002 All rights reserved.

Difficulty of Case: 1 = Easy 3 = Medium 5 = Difficult	1	2	3	4	5
Patient size: 1 = Thin, 3 = Medium, 5 = Obese
Patient cooperation: 1 = Very, 3 = Medium, 5 = Uncooperative
Patient anatomy: 1 = Normal Anatomy, 3 = Some Variation, 5 = Major Anomalies
TASKS: Rate the Student’s Performance: 1 = Poor 3 = Acceptable 5 = Excellent	1	2	3	4	5
1. Room properly prepared before bringing in the patient.
2. Patient properly identified and student identified him/herself to patient.
3. Correct transducer selected for the examination.
4. Patient information correctly entered before starting examination.
5. Proper patient history obtained.
6. Patient informed of the nature of the procedure.
7. Patient in correct position for the procedure.
8. Correct gain and machine settings used.
9. Correct focal range(s) and fields of view selected.
10. Images labeled correctly.
11. Correct image planes obtained.
12. Sufficient images recorded to demonstrate appropriate anatomy.
13. Correct use of pre-& post-processing controls.
14. Correct sonographic diagnosis/differentials/pathology proposed.
15. All measurements taken accurately and properly.
16. Images properly recorded and processed.
17. Exam completed in a timely fashion.
18. Paper work completed according to the laboratory’s routine.
19. Case discussed properly with the instructor/physician.
20. Patient properly released when the examination is completed.
Totals (Sum)