University of Vermont Nuclear Medicine Technology Program

Start Time End TimeYour e-mail address:
--Assigned Clinic Work Area-- CVCA Forte Lab PET/R.R. Pharma Logic Sopha I Sopha II XLI I also spent time in: CVCA Forte Lab PET/R.R. Pharma Logic Sopha I Sopha II XLI and: CVCA Forte Lab PET/R.R. Pharma Logic Sopha I Sopha II XLI

--Your Supervising Technologist-- Rocel Aguillon Christy Bowman Chelsea Bullard Tom DeFranco (Pharmalogic) David Gervais (CVCA) Jesse Guterres Richard Lew Steve Relation Jennifer Simpson Smith Ed Tumielewicz Jillian Turner Christin Young I also worked with: Rocel Aguillon Christy Bowman Chelsea Bullard Tom DeFranco (Pharmalogic) David Gervais (CVCA) Jesse Guterres Richard Lew Steve Relation Jennifer Simpson Smith Ed Tumielewicz Jillian Turner Christin Young and: Rocel Aguillon Christy Bowman Chelsea Bullard Tom DeFranco (Pharmalogic) David Gervais (CVCA) Jesse Guterres Richard Lew Steve Relation Jennifer Simpson Smith Ed Tumielewicz Jillian Turner Christin Young

List the procedures you observed and how many of each

SELF APPRAISAL: --During this session, I was:-- mostly observing 3/4 observing, 1/4 hands-on 1/2 observing, 1/2 hands-on 1/4 observing, 3/4 hands-on mostly hands-on --Did I arrive in clinic on time?-- YES NO --Was I prepared for this clinic session?-- YES NO --Did I adhere to the dress code?-- YES NO --Did I refrain from inappropriate conversation in front of the patient?-- YES NO N/A --Did I remain calm in a stressful situation?-- YES NO N/A --Did I accept constructive criticism from the technologist?-- YES NO N/A

--Did I communicate with patients?-- YES NO N/A --Did I make any entries in my notebook?-- YES NO --Est'd downtime during this clinic session-- 0% 25% 50% 75% 100%

If there was any downtime, list what you did:

CLINICAL COMPETENCY - --Are you ready to take a clinical competency exam?-- YES NO

GENERAL COMMENTS: If you have any general comments about this particular clinic session, or wish to comment on any of your selections above, please write them below: