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Anlage 5

(Anlage 5 zu § 6 Abs. 4 Satz 2 ÄAppO)

Zeugnis über den Krankenpflegedienst

Certificate concerning practical training in nursing

Der/ Die Studierende der Medizin The Student of Medicine

geboren am / born in / in

hat im Rahmen der ärztlichen Ausbildung in dem unten bezeichneten Krankenhaus unter meiner Leitung Krankenpflegedienst geleistet.

has completed a practical training in nursing under my supervision. This practical was part of the student’s medical course and was undertaken on a certified hospital’s ward in the following institution.

Dauer des Krankenpflegedienstes/

Duration of practical training in nursing:

von / from: bis zum / to:

Die Ausbildung ist unterbrochen worden / The training has been interrupted:

von / from: bis zum / to:

Die Ausbildung ist nicht unterbrochen worden / The training has not been interrupted:

______________________

Name des Krankenhauses / Siegel /Seal oder / or Stempel / Stamp Name of certified hospital

_____________________________

Ort, Datum / Place, Date

_________________________________

Unterschrift des Leiters des Pflegedienstes Signature of the Director of nursing Services

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