College of Nursing & Health Sciences

Medical Laboratory & Radiation Sciences Department

Nuclear Medicine Technology Program

NMT264 Clinical Internship Report Form - Spring 2009

This form is for the use of senior UVM Nuclear Medicine Technology students after each clinical session.
Date of Clinic (req'd)

Start Time End TimeYour e-mail address(req'd):

List the name of the technologist(s) that you worked with, the procedures you observed and participated in, and a general summary of your involvement in the procedures.

If there was any downtime, list what you did:

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:

OR