2 :
3 :
4 :
-1-1-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-4-4-
Head/neck
inspection of eyes, nose, mouth and throat
Chvosteks sign
palpation of salivary glands
throat swab
palpation of thyroid gland
palpation of trachea
Palpation of carotic arteria
-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-
-1-1-1-1-1-
-2-2-2-2-2-
-3-3-3-3-3-
-4-4-4-4-4-
-1-
-2-
-3-
-4-
-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-
The spine
inspection at rest
inspection in motion
percussion for tenderness
palpation for tenderness
palpation for pain on vertical pressure
(eg pressing down on shoulders)
assessment of lumbar flexion
Thorax
inspection at rest
inspection during respiration
palpation of respiratory expansion
palpation of tactile fremitus
palpation of apex beat
percussion of lungs, lung bases, cardiac size
auscultation of lungs
auscultation of heart
inspection of breasts
palpation of breasts
Abdomen
Inspection
auscultation (bowel, sounds, bruits)
percussion (especially liver, Traubes area
bladder dullness)
palpation (abdominal wall, colon, liver, spleen, aorta,
rigidity)
eliciting abdominal tenderness and rebound
tenderness
eliciting shifting dullness
eliciting a fluid thrill
eliciting renal tenderness
-1-1-1-1-1-
-2-2-2-2-2-
-3-3-3-3-3-
-4-4-4-4-4-
-1-
-2-
-3-
-4-
-1-1-1-
-2-2-2-
-3-3-3-
-4-4-4-
Perineal examination
inspection of perianal area
rectal examination
palpation of prostate
palpation of pouch of Douglas
palpation of adnexae
palpation of sacrum
inspection of glove
-1-1-1-1-1-1-
-2-2-2-2-2-2-
-3-3-3-3-3-3-
-4-4-4-4-4-4-
-1-1-
-2-2-
-3-3-
-4-4-
-1-1-
-2-2-
-3-3-
-4-4-
-1-1-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-4-4-
venepuncture
arterial puncture
finger prick
preparation and examination of blood film
preparation and examination of urinary sediment
preparation and examination of sputum
preparation and examination of stool
Gram stain
Ziehl Nielsen
-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-
-1-1-1-1-1-1-
-2-2-2-2-2-2-
-3-3-3-3-3-3-
-4-4-4-4-4-4-
gastric endoscopy
proctoscopy
kidney or liver biopsy
tapping ascites
pleural tap
pathological examination of biopsy
-1-1-1-1-1-1-
-2-2-2-2-2-2-
-3-3-3-3-3-3-
-4-4-4-4-4-4-
electrocardiography
exercise ECG testing
Phonocardiolography
Doppler examination
Holter examination
cardiac catheterization
automatic blood pressure measurement
echocardiography
lung function tests/spirometry
histamine provocation test
allergy tests
hyperventilation provocation test
perfusion/ventilation scan
bronchoscopy
joint aspiration
-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-
Therapeutic skills
to advice a patient about life-style
to prescribe a diet
subcutaneous and intramuscular injection
administration of insulin
intravenous cannulation
mouth to mouth resuscitation
cardiac massage
initiate resuscitation
-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-
nasogastric tube
-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-1-
-2-
assessment of diplopia
-1-
-2-
assessment of nystagmus
-1-
-2-
corneal reflex
-1-
-2-
-1-
-2-
-1-
-2-
-1-
-1-
-2-2-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
assessment of taste
-1-
-1-
-2-2-
-1-
-2-
-3-
inspection of palate
-1-
-2-
-3-
-3-3-3-3-3-3-3-3-3-
-3-3-
-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
Coordination
inspection of gait (normal, on heels, on toes, hopping
in one place, heel-to-toe)
shallow knee bend
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
Rombergs test
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
assessment of vibration
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-1-
-2-
-3-
-4-4-4-4-
-4-4-4-4-
-4-4-4-4-4-4-4-
-4-4-4-4-4-4-4-
-4-
Higher functions
assessment of level of consciousness by means of
Glasgow coma scale
assessment of orientation
-1-
-2-
-3-
-1-
-2-
-3-
assessment of aphasia
-1-
-2-
-3-
assessment of apraxia
-1-
-2-
assessment of agnosia
-1-
-2-
-1-
-2-
assessment of memory
-1-
-2-
assessment of concentration
-1-
-2-
Reflexes
Physiological Reflexes
tendon reflexes (biceps, reflex, triceps reflex knee
reflex, ankle reflex)
plantar response
-1-
-2-
-3-
-1-
-2-
-3-
abdominal reflexes
-1-
-2-
-3-
cremaster reflex
-1-
-2-
-3-
anal reflex
-1-
-2-
-3-
Pathological Reflexes
Hoffmann-Trmner sign
-1-
-2-
-3-
-2-
-3-
-3-3-3-3-3-
Primitive Reflexes
snout reflex
-1-
-2-
-3-
rooting reflex
-1-
-2-
-3-
grasp reflex
-1-
-2-
-3-
-4-4-4-4-4-4-4-4-
-4-4-4-4-4-4-4-4-4-4-
4
4
Glabela reflex
Palmomental Reflex
Others
detections of neck stiffness
-1-
-2-
-3-
-4-
assessment of fontanelles
-1-
-2-
-3-
-4-
Chvosteks sign
-1-
-2-
-3-
-4-
X-ray spine
-1-
-2-
-4-
Seldinger angiography
-1-
-2-
-3-3-
myelography
-1-
-2-
-3-
-4-
caudography
-1
-1-
-2-
-3-
-4-
-2-
-4-
-1-1-
-2-2--
-3-3-3--
EMG, EMNG
-1-
-2-, -
-3--
-4-
CT-scan of cerebrum
-4-
-4-4-
ENG
2-
Brain mapping
-2
PET, SPECT
-3-
-4-
-1-
-2
-2-
-1-
-2-
-3-
-4-
duplex-scan of vessels
-1-
-2-
-3-
-4-
biopsy of muscle
-1-1-
-2-
-3-
-4-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
MRI, MRA
-1-
-2-
-3-
-4-
lumbar puncture
Therapeutic skills
laminectomy
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
The spine
Inspection at rest
-1-
-2-
-3-
-4-
Inspection in motion
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
Psychiatric examination
assessment of consciousness
assessment of perception
assessment of orientation
assessment of intelligence
assessment of memory
assessment of thought (form and contents)
assessment of affect
assessment of mood
assessment of actions
assessment of desire
impression, general, systematic description
being aware of personal reactions evoked by seeing
a patient
assessment of suicidal risk
Identifying problems
identifying problem with the patient alone
identifying problem with the couple (i.e. with
partners)
identifying problem with the family
identifying problem in a crisis situation
identifying problem after suicide attempt
identifying problem with a group
presenting psychiatric problem to colleagues
Additional examination
administering Mini Mental State Exam
home visit
psychological examination
-1-1-
Level of competences
-2-3-4-2-3-4-
-1-1-
-2-2-
-3-3-
-4-4-
-1-1-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-4-4-
-1-
-2-
-3-
-4-
-1-1-
-2-2-
-3-3-
-4-4-
-1-1-1-1-1-
-2-2-2-2-2-
-3-3-3-3-3-
-4-4-4-4-4-
-1-1-1-
-2-2-2-
-3-3-3-
-4-4-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-
-1-1-1-1-
Physical examination
general physical examination with special attention
to age of patient
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-
Level of competences
-2-3-2-3-2-3-2-3-
-4-4-4-4-
All ages
10
-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-
-1-
-2-
-3-
-4-
-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-
-1-1-1-
Orthopaedic examination
assessment of muscle atrophy
determination range of motion of head
inspection shoulder / upper extremity
test function of shoulder joint
test function of muscles and elbow joint
-1-1-1-1-1-
Level of competences
-2-3-4-2-3-4-2-3-4-
-2-2-2-2-2-
-3-3-3-3-3-
-4-4-4-4-4-
11
-1-
-2-
-3-
-4-
-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-
-1-
-2-
-3-
-4-
-1-1-1-
-2-2-2-
-3-3-3-
-4-4-4-
-1-1-
-2-2-
-3-3-
-4-4-
-1-1-1-
-2-2-2-
-3-3-3-
-4-4-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-1-1-
-2-2-2-
-3-3-3-
-4-4-4-
-1-1-
-2-2-
-3-3-
-4-4-
-1-1-1-1-1-
-2-2-2-2-2-
-3-3-3-3-3-
-4-4-4-4-4-
-1-
-2-
-3-
-4-
12
transport of casualty
Heimlich manoeuvre
apply a bandage
fluid rescucitation
Additional examination
radiography (plane films)
arthrography
arteriography
scintiscan
CT
MRI
ultrasound
endoscopy
biopsy
uroflowmetry
micturating cystography
urodynamic examination
Reflek bulbokavernos
Phren sign
Therapeutic skills
pre-operative preparation of operative field for minor
surgery, asepsis, antisepsis, local anaesthesia
preparation to watch/to assist in theatre scrub-up,
gown up, put on sterile gloves etc)
infiltration anaesthesia
local nerve block
incision and drainage of abscess
wound cleaning
wound debridement with scalpel and scissors
wound stitching
wound, removal of sutures
wound care for burns
apply a pressure dressing
fracture repositioning, closed
fracture stabilisation (without plaster)
reduction of dislocation
apply a sling
nail bed cauterisation
nail removal
nasogastric suction
nasogastric insertion
urethral catheterization in male
urethral catheterization in female
suprapubic catheter, to change/to clean
Clean intermitten chatheterization (Neuropathic
-1-1-1-1-
-2-2-2-2-
-3-3-3-3-
-4-4-4-4-
-1-1-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-4-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-
13
blader)
Circumcision,
dorsumcircumcision
Pungsi suprapubik
colostomy, changing the bag
enema
injection of varices with sclerosant
venous cannulation
administration of analgesics
to attend oncological patient regarding social and
psychological issues
-1-1-1-1-1-1-
-2-2-2-2-2-2-
-3-3-3-3-3-3-
-4-4-4-4-4-4-
Operative surgery
Every doctor should have attended the theatre several times to observe different operations.
This experience should give him/her an impression of what goes in surgery during operation,
working with a team, the burden of surgery for a patient, and the relationship with pre-and
postoperative care.
Level of competences
-1-2-3-4-1-2-3-4-1-2-3-4-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-1-1-1-1-1-
-2-2-2-2-2-2-
-3-3-3-3-3-3-
-4-4-4-4-4-4-
14
hydroxide
endocervical swab and cervical scraping
colposcopy
abdominal ultrasound examination of uterus
vaginal ultrasound examination of uterus
curettage
suction curettage
laparoscopy, diagnostic
-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-
-1-1-1-
-2-2-2-
-3-3-3-
-4-4-4-
-1-1-
-2-2-
-3-3-
-4-4-
-1-1-1-
-2-2-2-
-3-3-3-
-4-4-4-
-1-1-1-1-1-
-2-2-2-2-2-
-3-3-3-3-3-
-4-4-4-4-4-
Contraception/ sterillization
advise about contraception
insertion I.U.D
laparoscopic sterilization
-1-1-1-
-2-2-2-
-3-3-3-
-4-4-4-
-1-
-2-
-3-
-4-
-1-1-1-
-2-2-2-
-3-3-3-
-4-4-4-
-1-1-1-1-1-
-2-2-2-2-2-
-3-3-3-3-3-
-4-4-4-4-4-
Obstetrics
Selection of high-risk pregnancy for Hospitalization/
clinical care
Pregnancy
attending pregnant women
inspection of abdomen of pregnant woman
palpation : fundal height, Leopolds manoeuvre,
external assessment of position
assessment of fetal heart rate
internal examination in early pregnancy
pelvic examination
pregnancy test, urine
CTG : performance and interpretation
15
ultrasound examination
amniocentesis
chorionic biopsy
Practical obstetrics*
Normal Delivery
attending woman in labour
CTG : performance and interpretation
obstetric examination (assessment of cervix,
dilatation, membranes, presentation of fetus,
descent)
artificial rupture of membranes
insertion of catheter for intra-uterine pressure
inspection and support of perineum
local anaesthesia of perineum
pudendal anaesthesia
epidural anaesthesia
episiotomy
receive/ hold newborn
aspiration of mouth/throat of newborn infant
record Apgar score
clamp cord/separation of placenta
examination umbilical cord
physical examination of newborn
postpartum : examination fundal height, placenta:
loose/ retained
delivery of placenta
examination of placenta and umbilical cord
measure/estimate loss of blood, after delivery
repair of episiotomy and lacerations
chemical induction of labour
support delivery in breech presentation
fetal blood sampling
assisted vaginal delivery
caesarean section
manual removal of placenta
Puerperium
assist and check mother and newborn
assessment of lochia
palpation of position of fundus
breasts : inspection, lactation
advice on hygiene
discussing contraception
inspection episiotomy scar
inspection caesarean section scar
-1-1-1-
-2-2-2-
-3-3-3-
-4-4-4-
-1-1-1-1-
-2-2-2-2-
-3-3-3-3-
-4-4-4-4-
-1-1-1-1-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-4-4-4-4-
-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-
-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-
16
skin palpation
Terminology of skin lesions
skin lesions description with primary and secondary
changes, as well as size, distribution, expansion and
configuration
Additional examination of dermatological
problems
preparation and assessment of potassium hydroxide
slide
preparation and assessment of methylen blue slide
preparation and assessment of gram stain
urethral swab
anal swab
parasite identification
punch biopsy
patch test
prick test
colposcopy for condylomata acuminata
proctoscopy
Therapy of skin diseases
skin, incision/ drainage of abscess
skin, excision of tumour
cryotherapy on tumours
warts, cryotherapy
acne, treatment of comedones
wound care
to apply a dressing
varicose veins, compressive sclerotherapy
varicose veins, ambulant compressive therapy on
venous leg ulcer
haemorrhoids
masking therapy
phototherapy
Level of competences
-1-1-1-1-1-
-2-2-2-2-2-
-3-3-3-3-3-
-4-4-4-4-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-
-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-
-1-1-1-
-2-2-2-
-3-3-3-
-4-4-4-
17
Prevention
contact tracing
-1-
-2-
-3-
-4-
-1-1-
-2-2-
-3-3-
-4-4-
-1-1-1-1-
-2-2-2-2-
-3-3-3-3-
-4-4-4-4-
-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-
Nose, sinuses
inspection of shape of nose and nostrils
assessment of nasal obstruction
testing sense of smell
anterior rhinoscopy
transillumination of frontal sinuses
nasopharyngoscopy
ultrasound of sinuses
radiology of sinuses, interpretation
-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-
-1-1-1-1-1-1-
-2-2-2-2-2-2-
-3-3-3-3-3-3-
-4-4-4-4-4-4-
18
-1-1-
-2-2-
-3-3-
-4-4-
-1-
-2-
-3-
-4-
-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-
-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-4-
ENT Surgery
Every doctor should have attended several operations on the ear, noses and throat during his
training
19
Vision
assessment of vision
assessment of vision, infant/ child
-1-1-
-2-2-
-3-3-
-4-4-
-1-1-
-2-2-
-3-3-
-4-4-
Visual fields
visual fields, Donders confrontation test
visual fields, Amsler panes
-1-1-
-2-2-
-3-3-
-4-4-
External inspection
eyelids, inspection
eyelids, inspection bye eversion of upper lid
eyelash, inspection
conjunctivae, inspection, including fornix
sclerae, inspection
lacrimal apparatus, inspection
lymph nodes, pre-auricular, palpation
-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-
Position of eyes
position with corneal reflex images
position with cover test
eye movements, examination
binocular vision, assessment
-1-1-1-1-
-2-2-2-2-
-3-3-3-3-
-4-4-4-4-
Pupils
Pupils, inspection
Pupils, direct reaction to light and convergence
-1-1-
-2-2-
-3-3-
-4-4-
Media
media of eye, inspection by transillumination
cornea, inspection
cornea, inspection with fluorescein
cornea, determination of sensation
anterior chamber, inspection
iris, inspection
lens, inspection
slit-lamp examination
-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-
-1-1-
-2-2-
-3-3-
-4-4-
-1-
-2-
-3-
-4-
Refraction
assessment of refraction, subjective
assessment of refraction, objective (refractometry
keratometer)
Fundi
fundoscopy, bringing the fundus into focus
optic disc, inspection, discrimination between normal
and abnormal
retina vessels, inspection, discrimination between
20
-1-1-
-2-2-
-3-3-
-4-4-
-1-
-2-
-3-
-4-
-1-
-2-
-3-
-4-
-1-1-1-1-
-2-2-2-2-
-3-3-3-3-
-4-4-4-4-
-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-
-1-1-1-1-
-2-2-2-2-
-3-3-3-3-
-4-4-4-4-
-1-1-1-1-
-2-2-2-2-
-3-3-3-3-
-4-4-4-4-
-1-1-1-1-1-1-
-2-2-2-2-2-2-
-3-3-3-3-3-3-
-4-4-4-4-4-4-
21
-1-1-
-2-2-
-3-3-
-4-4-
-1-
-2-
-3-
-4-
Level of competencies
-1-2-3-4-1-2-3-4-
The ear
removal of wax syringe
removal of foreign body (by syringing ear)
-1-1-
-2-2-
-3-3-
-4-4-
-1-1-
-2-2-
-3-3-
-4-4-
The arm
drainage of bursa, ganglion
to apply a dressing (sling, shoulder bandage, finger
bandage, hand bandage)
-1-1-
-2-2-
-3-3-
-4-4-
The leg
treatment of leg ulcers
to apply a dressing (leg bandage, foot bandage,
ankle bandage, knee bandage)
-1-1-
-2-2-
-3-3-
-4-4-
-1-1-1-1-1-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-4-4-4-4-4-
22
removal of splinter
disinfection
-1-1-
-2-2-
-3-3-
-4-4-
-1-1-1-1-1-
-2-2-2-2-2-
-3-3-3-3-3-
-4-4-4-4-4-
-1-1-1-1-1-1-1-
-2-2-2-2-2-2-2-
-3-3-3-3-3-3-3-
-4-4-4-4-4-4-4-
-1-1-1-1-1-
-2-2-2-2-2-
-3-3-3-3-3-
-4-4-4-4-4-
-3-
-4-
death certification
-1-
-2-
23
24