MIDDLE KINGDOM CHIRURGEONATE

Chirurgeon In Training (CIT) Evaluation

 

CITís Legal Name:

CITís SCA Name:  

Event :        

Location:  

Chirurgeon in Charge: Date of the event: 
Number of events the CIT has worked (including this one:)

 

Check the activities occurring while the CIT was on duty:

Armored Combat

Rapier Combat

Archery

Thrown Weapons

Equestrian

Feast Preparation

Dancing

Waterbearing

 

Summarize the Chirurgeon-in-Training's responses (including "band aid" requests):

Was this event's workload representative of a typical event? Yes     No    

 

What is your opinion of the CITís ability regarding:

Excellent > Good > Average > Fair > Poor

 

 

Attentiveness / Responsiveness

5 4 3 2 1 Not Evaluated

Presence of mind / Triage ability

5 4 3 2 1 Not Evaluated

Performance of First Aid skills

5 4 3 2 1 Not Evaluated

Knowledge of the limits of basic first aid

5 4 3 2 1 Not Evaluated

Communications skills

5 4 3 2 1 Not Evaluated

Ability to inspire confidence in patients

5 4 3 2 1 Not Evaluated

Knowledge of SCA combat and armor extraction

5 4 3 2 1 Not Evaluated

Knowledge of the responsibilities of a CIC

5 4 3 2 1 Not Evaluated

Knowledge of Kingdom Chirurgeon's policies

5 4 3 2 1 Not Evaluated

 

Judging by todayís performance, would you recommend this CIT for a warrant? Y N

 

How many more events would you recommend this CIT work before warranting?
>=5  Would not recommend warranting

 

Additional comments:

 

 

Evaluatorís Legal Name:

Evaluatorís SCA Name:

Evaluatorís e-mail address: