Entrustability Assessment Tool

University of Newcastle / University of New England Entrustability Rating Tool.

Use this form to document any feedback you have had from a supervisor. Once complete an email will go to you, your assessor and the JMP.

Student Information

First Name

Last Name

Student Email

Student Group

Supervisor Information (for verification purposes)

First Name

Last Name

Encounter Details

Feedback for Student

Entrustability Score

I had to do (required complete hands on guidance or was not required to do)

I had to talk them trough (able to perform tasks but required constant guidance)

I had to prompt them from time to time (demonstrates independence but requires intermittent supervision)

I needed to be in the room just in case (displays independence but needed to be around for safe practice)

I did not need to be there ( complete independence, understands risks and performs safely, practice ready)