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Externship Scorecard

RDA Externship Scorecard

Professionalism/communication Skills:

Did the Extern make an effort to introduce themselves and communicate with the staff if they had questions?
Yes
No
Did the extern demonstrate enthusiasm and maintain a positive attitude while in your office?
Yes
No
Did the Extern follow dress code expectations?
Yes
No
Did the extern proactively offer assistance when help was needed?
Yes
No

Time Management/Showed Urgency:

Did the Extern Arrive on time each day?
Yes
No
Did the extern request to leave early while scheduled for a full 8-hour shift?
Yes
No
Did the Extern demonstrate the ability to keep up with your office’s speed?
Yes
No
Did the extern respond promptly and demonstrate a sense of urgency when asked to perform a task?
Yes
No

Clinical Skills

Operatory Break Down & Set up:

Was the extern able to correctly break down and properly disinfect an operatory?
Yes
No
Did the Extern show awareness of cross-contamination?
Yes
No
Did the Extern follow PPE/CDC guidelines?
Yes
No
Did the extern properly prepare the operatory for the next patient?
Yes
No

Sterilization Skills

Was the Extern willing to assist with Sterile?
Yes
No
Was the extern able to properly sterilize instruments and follow appropriate disinfection techniques?
Yes
No
Was the extern able to identify which equipment should not be placed in the ultrasonic cleaner or autoclave?
Yes
No
Did the Extern make an effort to put away sterilized instruments?
Yes
No

Patient Care/Dentrix/Eagle Soft:

Did the Extern bring back a new patient?
Yes
No
Did the extern demonstrate strong patient communication skills, including the ability to put patients at ease and initiate friendly conversation?
Yes
No
Did the Extern properly notate the patient's vital signs /Medical HX/CC in the patient's chart?
Yes
No
Did the Extern show confidence in communicating with the patient?
Yes
No

Alginate Impressions/Whitening Tray Fabrication:

Was the Extern able to take alginate impressions on New Patients?
Yes
No
Could the Extern properly take an impression within the first two attempts?
Yes
No
Did the extern properly disinfect, wrap, and label their impressions for the lab technician?
Yes
No
Was the extern able to pour the model, trim it appropriately, and fabricate a whitening tray?
Yes
No

Radiology Skills:

Was the Extern provided with the opportunity to take x-rays on a patient?
Yes
No
Was the Extern able to properly take BWs and PAs?
Yes
No
Could the Extern properly take a pano on a patient?
Yes
No
Was the Extern able to properly take intra-oral images?
Yes
No

Minor Restorative/Chair Side Assisting

Did the Extern have the opportunity to assist chairside in a simple restorative procedure?
Yes
No
Did the extern recognize and correctly perform the steps of a filling procedure?
Yes
No
Was the Extern able to perform at an entry level with suctioning and isolation during the procedure?
Yes
No
Was the Extern able to pass instruments properly during treatment?
Yes
No

Coachable/Constructive Criticism

Did the Extern respond positively when corrected while performing a skill incorrectly?
Yes
No
Once you corrected the Extern, did they follow your instructions?
Yes
No
Was the extern receptive to feedback and willing to learn and perform skills using new or different techniques?
Yes
No
Do you believe this Extern is coachable?
Yes
No
Will the Extern be hired at your practice?
Yes
No
Has the Extern been notified regarding the employment opportunity?
Yes
No
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