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Case based discussion template 2026

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  1. Click ‘Get Form’ to open the case based discussion template in the editor.
  2. Begin by entering the Assessor’s Name and signature in the designated field, followed by the date of assessment.
  3. Fill in the Student’s Name and signature along with their Registration Number to identify the participant.
  4. In the Patient problem/diagnosis section, provide a brief description of the patient's condition.
  5. Select the Case Complexity level by circling either Low, Moderate, or High based on your assessment.
  6. For each area of evaluation (Clinical Assessment, Investigation and referral, Treatment, Follow-up and future planning, Professionalism), circle a score from 1 to 3. Justify any score of 1 in the comments box provided.
  7. Use the comments sections for both Students and Assessors to provide detailed feedback on performance and agreed actions.

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