Co-Curricular Baseline Assessment
Name (First & Last)
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Email
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Prior to beginning my P1 year, my self-assessment of my Educator skills as addressed in Subdomain 3.2 (Educate all audiences by determining the most effective and enduring ways to impart information and assess understanding) is:
Prior to beginning my P1 year, my self-assessment of my Cultural Sensitivity skills as addressed in Subdomain 3.5 (Recognize social determinants of health to diminish disparities and inequities in access to quality care) is:
Prior to beginning my P1 year, my self-assessment of my Self-awareness skills as addressed in Subdomain 4.1 (Examine and reflect on personal knowledge, skills, abilities, beliefs, biases, motivation, and emotions that could enhance of limit personal and professional growth) is:
Prior to beginning my P1 year, my self-assessment of my Leadership skills as addressed in Subdomain 4.2 (Demonstrate responsibility for creating and achieving shared goals, regardless of position) is:
Prior to beginning my P1 year, my self-assessment of my Innovation & Entrepreneurship skills as addressed in Subdomain 4.3 (Engage in innovative activities by using creative thinking to envision better ways of accomplishing professional goals) is:
Prior to beginning my P1 year, my self-assessment of my Professionalism skills as addressed in Subdomain 4.4 (Exhibit behaviors and values that are consistent with the trust given to the profession by patients, other healthcare providers, and society) is:
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