Student Progress Report

ROJ Medical and Health Administration School

Student Progress Report

20___ - 20 ___

This evaluation form is to be accomplished

1. At the end of each course by a course coordinator.

2. At the end of each semester by a faculty adviser.

This evaluation form may be used by

- the student as a guide and for self-evaluation.

- any faculty as a guide to constantly observe, monitor, and assess any student.

This evaluation form will be used throughout the medical course (from Year Level I to Year Level IV).

The learner will be evaluated on five (5) parameters:

1. Competencies expected of a physician

2. Skills expected of a physician

3. Attitude/Trait/Personality

4. Discipline

5. Academic Performance

Student Progress Report

20 ___ - 20 ___

I. COMPETENCIES

Instructions: Pls. rate the competency expected of a physician PRE and POST course by either encircling or shading the degree in the boxes provided.

Student Progress Report

20 ___ - 20 ___

II. SKILLS

Instructions: Pls. rate learner’s skills using Excellent, Satisfactory, Needs Improvement, and Fail scores.

III. ATTITUDE/TRAIT/PERSONALITY

Student Progress Report

20 ___ - 20 ___

IV. DISCIPLINE

V. ACADEMIC PERFORMANCE

Student Progress Report

20 ___ - 20 ___

SUMMARY:

Instruction: Pls. encircle the grade for each parameter.

DECISION:

Instruction: Pls. check one decision. Note: One failure is automatically FAIL.

NOTED BY: