Assessment Information Knowledge of Professional Practice* Very Good   Good   Fair   Poor Awareness of Patient's Safety* Very Good   Good   Fair   Poor Observance of Professional Ethics* Very Good   Good   Fair   Poor Work Consciousness* Very Good   Good   Fair   Poor Maintenance of Professional Integrity on Off Duty* Very Good   Good   Fair   Poor Knowledge of Zambian Health Profession Laws* Very Good   Good   Fair   Poor Procedural Accuracy* Diagnostic Skills Very Good   Good   Fair   Poor   N/A Prescriptive Skills Very Good   Good   Fair   Poor   N/A Ability to Learn* On the Job Very Good   Good   Fair   Poor From Others Very Good   Good   Fair   Poor Attitude Towards* Patients Very Good   Good   Fair   Poor Members of Other Professions Very Good   Good   Fair   Poor Colleagues Very Good   Good   Fair   Poor General Public Very Good   Good   Fair   Poor Comments General Comments:* Name of Head of Internship Hospital:* Date Signed:*