Student Remediation and Records Review

Date: ___________________________________________________

SECTION VI. REMEDIATION ACTIVITY TRACKING LOG

Remediation Activity Completed

Faculty/Staff Responsible

Student Participation/Performance

Documentation/Evidence Attached

Date

Additional comments:

SECTION VII. REASSESSMENT AND OUTCOME

A. Reassessment Method

☐ Written Examination ☐ Practical Examination ☐ OSCE ☐ Clinical Skills Assessment ☐ Faculty Observation ☐ Standardized Assessment ☐ Preceptor Evaluation ☐ SCPE Evaluation

☐ Competency Assessment ☐ Professionalism Evaluation ☐ Portfolio Review ☐ Other: _________________________________________________

Date of Reassessment: _____________________________________

Faculty/Assessor: _________________________________________

B. Reassessment Results

Powered by