Beruflich Dokumente
Kultur Dokumente
Junior Residency
HUMAN ANATOMY
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Name of the P.G.Student ____________________________ Name of the P.G.Guide _____________________________ Name of the Professor & Head __________________________ Name of the Dean / Principal ____________________________ Name of the College _______________________________
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INDEX SN
I. II. 1. 2. 3. 4. III. 1. 2. 3. 4. 5. 6. IV. V. VI. VII. VIII. IX. X
Topic
Personal information Under-graduate teaching Dissection LCD Histology Practical Other teaching PG activities Lectures Practical Seminars Journal club Microteaching Dissertation work Embalming duties M.L.C. work Scientific & Research activities Other activities Evaluation Museum work Course completion certificate
Page Nos.
1 to 7 8 to 11 8 9 10 11 12 to 22 12,13 14 15,16 17,18 19,20 21,22 23 24 25 26 27
28
I] Personal Information
1. 2. 4. 6. 7. 8. Full Name: Date of Birth: Marital Status: Mother tongue: Languages known: Address for Correspondence: _________________________________________ _________________________________________ Phone No. __________________ 9. Permanent Address: _________________________________________ _________________________________________ Phone No. 10. Academic Information: Year M.B.B.S. I M.B.B.S.II M.B.B.S.III Date of completion of the Internship: Date of Permanent Registration of MMC/MCI/SMC: Any other Degree/Diploma: Yes / No; if Yes, give details. 11. PG registration: Selection by: Graduate marks/PGMCET/AIEE/any other Date of selection order & No.: Name of the selecting authority: If through PGMCET, SML No.: Selected for the registration year: 12. Joining the Dept: Registration Year: Date of joining: Date of starting PG course: Registration No.: Institution University No. Of Attempts Month & Year of Passing 3. 5. Sex: Religion:
Provisional date of completion of the course: Joining Report given to Dept: Inward No: Date: Joining report sent to Dean: Outward No: Date:
13.
University eligibility: Application for Provisional Eligibility (for out of university candidate) a) Outward No: Date: b) Fees paid: Receipt No: Date: c) Certificate No: Date: Application for Permanent Eligibility & Enrollment a) Outward No: Date: b) Fees paid: Receipt No: Date: c) Certificate No: Date:
14. Progress Report: Date of starting the course: TERM FROM TO GRANTED / NOT GRANTED REMARK
Provisional Date of Submission of Dissertation: Provisional Month of appearing for University Exam:
15.
SN
Date of Application
Reason
Period of leave
No. of Days
SN
Date of Application
Reason
Period of leave
No. of Days
Stipend Record Stipend: Applicable / Not Applicable Sr. No. Period Stipend (Rs/month) Months Total Rs Received Remarks
17. Fees Record i) Tuition Fees If tuition fees not applicable, reason: Year I II III ii) Other Fees SN. Amount Receipt No. Date Nature of Fees Remarks Fees Paid (Rs) Receipt No. Date Remarks
University Exam Submission of Dissertation Fees paid: Rs. Date: Date: Outward No: Receipt No: Date of submission of form: Date on which eligible to appear: Month of exam conducted: Centre of Theory Exam: Practical Exam: Date of Declaration of Results: Grades / Points obtained with break up: Pass / Fail Roll No:
SN 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18
Region
Batch
Date From To
No. of Sessions
Remarks
Signature of PG Guide
Signature of HOD
SN 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18
Signature of PG Guide
Region
Batch
Date From To
No. of Sessions
Remarks
Signature of HOD
SN 01 02 03 04 05 06 07 08 09 10 11 12 13
Region
Batch
Date From To
14 15 16 17 18
Signature of PG Guide
Signature of HOD
SN
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16
Date
Time
Batch / Class
Topic
Remark
Signature of PG Guide
Signature of HOD
SN
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16
Date
Time
Topic
Lecture conducted by
Remarks
SN
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16
Date
Time
Topic
Remarks
Signature of PG Guide
Signature of HOD
SN
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16
Date
Time
Topic
Practical Conducted by
Remarks
Signature of PG Guide
Signature of HOD
PROFORMA FOR INTERNAL EVALUATION OF SEMINAR SN 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Points to be considered 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 Signature of Sr. teacher present Grades Seminar Number
Signature of PG Guide
Signature of HOD
Signature of PG Guide
Signature of HOD
PROFORMA FOR INTERNAL EVALUATION OF JOURNAL CLUB SN. Points to be considered Grades Journal Club Number
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.
Choice of articles Cogency of presentation Purpose of articles understood? How well he defend the article? Consulted Cross-references? Consulted relevant Literature? Overall impression of articles Audio-visual aids Response to questioning Others Signature of Sr. teacher present for the journal club
Signature of PG Guide
Signature of HOD
Signature of PG Guide
Signature of HOD
S
Set Induction a) Aroused interest at the beginning b) Specified objectives of presentation Planning a) Organized material in a logical sequence b) Used relevant content matter Presentation a) Fluency in language b) Used non-verbal cues, eye contact Interaction a) Allowed questions from students b) Asked questions c) Rewarded pupil effort d) Clarified doubts Use of AV aids a) Used proper AV aids b) Used the aid effectively Summarization a) Summarized important points at the end. b) Checked that all students got the points. c) Lesson on the whole was effective. Any suggestions given to the speaker for improvement Signature of the senior teacher present
1 2 3 4
5 6
7 8
Signature of PG Guide
Signature of HOD
Signature of PG Guide
Signature of HOD
1 2 3 4 5 6 7 8 9 10 11 12
Interest shown in selecting a topic Appropriate review Discussion with guide & other faculty Quality of Protocol Preparation collection of case material Regular collection of case material Depth of analysis / discussion Departmental presentation of findings Quality of final output Defense in Viva Others Signature of PG Guide
Grades: A-Excellent, B-Very Good, C- Good, D- Average, E- Below Average, F- Poor Date of Submission of Dissertation:
Signature of PG Guide
Signature of HOD
Signature of PG Guide
Signature of HOD
Signature of PG Guide
Signature of HOD
V] M.L.C. WORK
SN. M.L.C. No. Jurisdiction of the M.L.C. Date of opening Date of completion Remark s Sign of H.O.D.
Signature of H.O.D.
2. Research Assignment Record of the Conferences Attended & Research Articles published a. Conferences Attended SN Name of Conference Title of Presentation Date Remarks
Signature of H.O.D.
VII] Other Activities (Museum work including museum techniques & preparation of minimum 15 to 20 specimens)
SN Nature of Work Period Remark Signature of concerned teacher
Signature of H.O.D.
Points to be considered
I II Mastery of fundamental knowledge Knowledge of and ability to use basic lab. techniques Knowledge of and ability to use computers Ability to express self in speech and in writing Regularity and punctuality Co-operative / helping nature Self-reliance & independence Ability to accept any challenge on short notice Emotional stability & maturity Motivation toward a successful productive career Participation in extra curricular activities Signature of the P.G. Guide
VI
1 2 3 4 5 6 7 8 9 10 11 12
Signature of P. G. Guide
Signature of H.O.D.