Evaluation & Progress Form
A formal meeting for evaluation of performance and progress with the Residency Supervisor and the Resident must occur at least two times per year. This form should be completed and signed by the Residency Supervisor and the Resident following each of these meetings.
The Residency Supervisor must submit these forms (at least two per resident per year) together with a signed summary of assessment of the Resident’s performance and progress to the ECVCN Executive Secretary and the Chair of the ECVCN Education & Residency Committeeon or before June 1st of the year of the resident evaluation.
Resident:
Title:
Name:
Address:
Email:
Resident Advisor:
Title:
Name:
Address:
Email:
DATE OF EVALUATION:
Within a Standard or Alternative Residency Programme the ECVCN Resident will focus on clinical training, research activities, teaching, and continuing education related to veterinary and comparative nutrition (more details are described in the ECVCN Policy and Procedure).
1. CLINICAL TRAINING
Please comment on the resident’s progress regarding the number of patients/cases seen by the resident, the resident’s ability tomanage or consult on patients/cases, including feed analyses and feed evaluation, and writing of case reports.
SATISFACTORY
SOME CONCERNS
UNSATISFACTORY
Resident Advisor Comments:
2. RESEARCH ACTIVITIES
Please comment on the resident’s progress regarding study of literature related to the research topic, setting up and performing a research study, preparation of scientific manuscripts, presentation of results at scientific meetings.
SATISFACTORY
SOME CONCERNS
UNSATISFACTORY
Resident Advisor Comments:
3. TEACHING
Please comment on the resident’s involvement in teaching of students, interns, residents of other colleges, technicians, veterinarians, producers, and/or owners. This can be in the form of informal clinical tutorials (daily rounds and other case discussions) or formal courses and seminars.
SATISFACTORY
SOME CONCERNS
UNSATISFACTORY
Resident Advisor Comments:
4. CONTINUING EDUCATION
Please comment on the resident’s involvement in the annual residency class, attendance of and participation in local, regional, national and international workshops, seminars, symposia, and conferences, rotations and visits to other training sites.
SATISFACTORY
SOME CONCERNS
UNSATISFACTORY
Resident Advisor Comments:
OVERALL PERFORMANCE
SATISFACTORY
SOME CONCERNS
UNSATISFACTORY
THE RESIDENT IS ENCOURAGED TO RESPOND TO THE COMMENTS MENTIONED ABOVE OR MAKE OBSERVATIONS ON THEIR PROGRAM.
Resident Comments: (use additional page if required)
Resident: / Resident Advisor:Print name: / Print name:
Date and place: / Date and place:
Signature: / Signature:
Resident received a final copy of the report
I have concerns regarding supervision
NOTES:
A SATISFACTORY evaluation represents normal progress with the usual needs for advising, mentorship and supervision.
SOME CONCERNS is compatible with an expectation for successful completion but some specific concerns regarding current performance and/or progress are noted.
The Resident Advisor isencouraged to prepare a plan of action to ensure a future satisfactory outcome.
An UNSATISFACTORY evaluation is a clear indication of concern about the Resident's ability to complete the program.
In cases of an unsatisfactory evaluation there must be a statement by the Resident Advisor as to what action is being taken.
Please send this form to:
Don’t forget to ask a read receipt!
Executive Secretary ECVCN:Dr. Anne Mößeler
Dr. Anne Mößeler
Fachtierärztin für Tierernährung und Diätetik,
Dip ECVCN
Institut für Tierernährung
Stiftung Tierärztliche Hochschule Hannover
Bischofsholer Damm 15
30173 Hannover
Germany
Phone: +49 0511/ 856 73 81
Fax: +49 0511/ 856 76 98 / Chair of the ECVCN Education & Resident Committee:
Prof. Dr. Charlotte Reinhard Bjørnvad
Dr. Charlotte Reinhard Bjørnvad
Dip ECVCN
Department of Small Animal Clinical Sciences
Dyrlægevej 16, Building 1-71, Room N 1045
1870 Frederiksberg C
Denmark
Phone: +45 35 33 28 64
Fax: +45 35 33 29 29
For ECVCN use only
Date received:
1
May 2015