•基本資料Basic Information
請填寫輪次Please enter the round
請填寫觀察者姓名Please enter the observer's name
1質性觀察(依五階段+整體互動,逐項記錄具體行為)Qualitative Observation (5 phases + overall, note concrete behaviors)
請於下列每一階段,寫下觀察到「表現良好」與「表現不足/待加強」之具體行為(至少填寫一則)。For each phase below, note concrete behaviors you observed as "did well" and "to improve" (fill in at least one).
2行為細項評分(三等級・於觀察過程勾選)Behavior Rating (3 levels · check during observation)
😊 滿意:具備正向表現,符合臨床指導目標|😐 普通:有基本表現但尚可加強|☹ 需加強:缺乏或不恰當的行為表現。每項可加註佐證筆記(選填)。
😊 Good: positive performance, meets the teaching goal|😐 OK: basic performance, room to improve|☹ Improve: missing or inappropriate behavior. Each item may include a supporting note (optional).
評量架構:雙和醫院 H-coaching 觀察記錄單 × ACGME PREPS/ADAPT/R2C2。
本表填寫內容僅保存於本機瀏覽器(localStorage),如需保留紀錄請於填寫完成後產出 PDF 存檔。 Framework: Shuang-Ho H-coaching observation form × ACGME PREPS / ADAPT / R2C2.
Entries are saved only in this browser (localStorage) — generate a PDF after filling in if you need to keep a record.
本表填寫內容僅保存於本機瀏覽器(localStorage),如需保留紀錄請於填寫完成後產出 PDF 存檔。 Framework: Shuang-Ho H-coaching observation form × ACGME PREPS / ADAPT / R2C2.
Entries are saved only in this browser (localStorage) — generate a PDF after filling in if you need to keep a record.