Evaluation Form for Trainees on Completion of One Year Fellowship (To be filled by the Institute and sent along with the application to take fellowship examination)

Guidance for Scoring: 

Evaluation form for Postgraduates: Clinical Work: Score: ( )

Points to be considered:

• Punctuality
• Regularity of attendance
• Quality of Ward Work
• Maintenance of case records
• Presentation of cases during rounds
• Investigations work-up
• Bedside manners
• Rapport with patients

Evaluation form for Postgraduates: Seminar: Score: ( )

• Presentation
• Completeness of preparation
• Cogency of presentation
• Use of audiovisual aids
• Understanding of subject
• Ability to answer questions
• Time scheduling
• Consulted all relevant literature
• Overall performance
• Others:

Evaluation form for Postgraduates: Clinical Meeting: Score: ( )              

Points to be considered:

• Completeness of history
• Whether all relevant points elicited
• Cogency of presentation
• Logical order
• Mentioned all positive and negative points of importance
• Accuracy of general physical examination
• Whether all physical sings missed or misinterpreted
• Whether any major signs missed or misinterpreted
• Diagnosis: whether it follows logically from history and findings.
• Investigations required - Complete list -

Relevant order
Interpretation of investigations

Overall ability to react to questioning –

Whether answers relevant and complete
Ability to defend diagnosis
Ability to justify differential; diagnosis
Confidence
Others

Evaluation form for Postgraduates: Research Work: Score: ( )   

Points to be considered:

• Interest shown in selecting a topic
• Appropriate review
• Discussion with guide and other faculty
• Quality of protocol
• Preparation of Performa
• Regular collection of case material
• Depth of analysis/discussion
• Departmental presentation of findings
• Quality of final output
• Defense in Viva
• Others:

Evaluation form for Postgraduates: Journal Club: Score: ( )         

Points to be considered:

• Choice of articles
• Cogency of presentation
• Whether he has understood the purpose of the article
• How well did he defend the article?
• Whether cross-references have been consulted
• Whether other relevant publications have been consulted
• His Overall impression of articles

If good - reasons:
If poor - reasons:

• Audiovisual aids
• Response to questioning
• Overall presentation
• Others:

Log (Performance record book)

Maintenance of performance record Logbook is mandatory. Certified and assessed copy should be made available at the time of practical examination for review by examiners

Log Book should contain:

• Certificate duly signed by teacher, head of department, head of institute - stating –

Dr………………………………. has worked in department from …………… to ………… for a period of one year.

This performance record book contains the authentic record of work done and assessment for one year.

• Record of training 
  Name of the trainee
  Name of the Hospital
  Training period
  Name of teacher

• Posting
• Working schedule
• Teaching program
• Presentation at Journal club: Date, Article Name, Assessment                                         
• Seminars / Lectures: Date, Topic/ Subject, Assessment
• Case presentations: Date, Case, Teacher’s signature
• Death Audit / C P C: Date, Case discussed, Assessment & Signature
• Procedures: Date, Name of patient, Type, complications observed
• Teaching activity: Date, Topic, Class
• Participation in Research Activity: Name of project, Duration
• Conferences / Workshop attended / Paper presentation
• Publications