Bicol Christian College of Medicine

Legaspi City, Albay

Philippines

Student Progress Report

COMPETENCIES
SKILLS
ATTITUDE/TRAIT/PERSONALITY
DISCIPLINE
ACADEMIC PERFORMANCE
SUMMARY

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 1V).

Pls. click on type of usage of the evaluation form before filling up the form.

Student Progress Report (Self-Monitoring)

Student Progress Report (Peer-Evaluation)

Student Progress Report (Faculty-Monitoring)

End-of-Semester Evaluation (Formative Evaluation)

End-of-Medical Course Evaluation (Summative Evaluation)

Evaluator:

Peer (name):

Faculty (name):

Faculty Adviser (name):

I. COMPETENCIES

Where I - Incompetent; C - Competent; 25% Competent; 50% Competent; 75% Competent

Competencies

I

25%

50%

75%

C

01. Solver of community health problem

02. Basic physician

2.1 Clnical Daignosis

2.2 Paraclinical Diagnosis

2.3 Treatment

2.4 Advice

03. Emergency medicine

04. Self-directed learner

05. Educator

06. Researcher

07. Administrator of a health care unit

08. Manager

09. Board Passer

Overall Assessment for Competencies:

Note: One failure is automatically FAIL. If FAIL, justify.

	E	Excellent				Progressing
	S	Satisfactory				Progress maintained
	NI	Needs improvement				No progress
	F	Fail				Backsliding

Comments/Justifications on Assessment of Competencies:

Note: Do not click on submit button yet if you intend to fill up the entire form.

II. SKILLS

Skills						E	S	NI	F
01. Interpersonal
02. Communication
	2.1 Oral
	2.2 Written
	2.3 Handwriting
03. Critical thinking/analysis
04. Decision-making/problem-solving
05. Technical
06. Group learning
07. Referral
08. Others (Specify):

Overall Assessment for Skills:

Note: One failure is automatically FAIL. If FAIL, justify.

	E	Excellent
	S	Satisfactory
	NI	Needs Improvement
	F	Fail

Comments/Justifications on Assessment of Skills:

Note: Do not click on submit button yet if you intend to fill up the entire form.

III. ATTITUDE/TRAIT/PERSONALITY

Where A - Always; O - Often; S - Seldom; NI - Needs Improvement

Attitude/Trait/Personality						A	O	S	NI
01. Community-oriented
02. Teamwork
03. Compassionate/concern
04. Responsible
05. Hardworking/ eager to learn
06. Resourceful/innovative
07. Humble/accept limitation
08. Role model
09. Good health habits
10. Show respect to human life
11. Show respect to colleagues
12. Show respect to authority
13. Others (Specify):

Overall Assessment for Attitude/Trait/Personality:

Note: If FAIL, justify.

	E	Excellent
	S	Satisfactory
	NI	Needs Improvement
	F	Fail

Comments/Justifications on Assessment of Attitude/Trait/Personality:

Note: Do not click on submit button yet if you intend to fill up the entire form.

IV. DISCIPLINE

Discipline		Number
01. Absence in class
02. Tardiness in class
03. No/late reports
04. Critical incident reports (Describe/incorporate)
05. Others (Specify):

Overall Assessment for Discipline:

Note: If FAIL, Justify.

	E	Excellent
	S	Satisfactory
	NI	Needs Improvement
	F	Fail

Comments/Justifications on Assessment of Discipline:

Note: Do not click on submit button yet if you intend to fill up the entire form.

V. ACADEMIC PERFORMANCE

Course/Module

E

S

NI

F

No.

Title

OVERALL ASSESSMENT FOR ACADEMIC PERFORMANCE:

Note: One failure is automatically FAIL. If FAIL, Justify.

	E	Excellent		Outstanding achievement of all objectives.
	S	Satisfactory		Achievement of all objectives.
	NI	Needs Improvement		Unsatisfactory achievement of some objectives; incomplete achievement of objectives.
	F	Fail		No objective achieved; unsatisfactory despite remedials.

Comments/Justifications on Assessment of Academic Performance:

Note: Do not click on submit button yet if you intend to fill up the entire form.

SUMMARY

PARAMETERS

E

S

NI

F

I

COMPETENCIES

II

SKILLS

III

ATTITUDE/TRAIT/PERSONALITY

IV

DISCIPLINE

V

ACADEMIC PERFORMANCE

DECISION

Note: One failure is automatically FAIL.

Needs remedials

Needs improvement

Eligible for promotion to Yr. Level

Not eligible for promotion

Remarks:

Evaluator: Date:

Associate Dean for Academic Affairs:

Dean:

Evaluation || BCCM