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Quality Assurance Program. Samples – Forms 6 and 7. 6. CQI Activity Plan for the Year 20___. ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●. This is your Personalized Learning Plan. Self-assess your dental hygiene practice yearly .
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Quality Assurance Program Samples – Forms 6 and 7
6. CQI Activity Plan for the Year 20___ ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● • This is your Personalized Learning Plan. • Self-assess your dental hygiene practice yearly. • Identify areas of your practice that need enhancement. • Develop learning goals that will enhance your practice. 2 Home Prev. Next End
Form 6 Sample ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● The number of goals you select will depend on your needs and the time and learning that is realistically required to complete them.
7. CQI Activities Evaluation for Goal # _____ ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● • This form reports on your progress towards your goal. • A separate Form 7 must be completed for each goal. 4 Home Prev. Next End
Form 7 Sample Goal #1 ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● …Researching and evaluating the PSR system as a periodontal screening tool.
Form 7 Sample Goal #1 cont’d ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●
Form 7 Sample Goal #2 ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● …Investigating dentin hypersensitivity to better help clients who are presenting with tooth sensitivity.
Form 7 Sample Goal #2 cont’d ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●
Form 7 Sample Goal #3 ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● …Researching ways to better communicate with my clients so I can better establish their priorities and expectations for oral care.
Form 7 Sample Goal #3 cont’d ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ●
● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● ● Continuing Competency Means Making a Commitment to Lifelong Learning 11 Home Prev. Back End Show