SHRP FACULTY PERFORMANCE EVALUATION FORM
NAME:
TITLE:
DEPARTMENT:
EVALUATOR:
EVALUATION PERIOD:
The weight for the various areas should add up to 100%. Attach previous year goals.
Evaluations
A. Teaching
Weight =
1. Mastery of discipline
2. Effectiveness of lectures
3. Effectiveness in small group teaching (clinics, laboratories, seminars, etc.)
4. Effectiveness of evaluation methodology
5. Development of and involvement in continuing education programs
6. Mentoring students; mentoring junior faculty
7. Development of teaching materials
8. Effectiveness as teaching leader (as course director, etc.)
9. Other, including technology assisted teaching, etc.
Comments: (Refer to previous year goals as applicable)
B. Research and Scholarship
Weight =
1. Quality of research and scholarship
2. Quality of grant proposals
3. Success in obtaining grants
4. Quality of publications and presentations
5. Mentoring students; mentoring junior faculty
6. Participation in national research review activities (e.g., NIH study sessions)
7. Editorships and other editorial activity
8. Other
Comments: (Refer to previous year goals as applicable)
Revised July 2013
1
C. Service
Weight =
1. Extent and effectiveness of participation on committees and other organized
efforts to address school and University issues
2. Contribution to professional and academic organizations
3. Efforts to address community needs
4. Contributions to the quality of University life, including student life
5. Other
Comments: (Refer to previous year goals as applicable)
D. Patient Care
1. Mastery of discipline
2. Effectiveness of direct patient care
3. Effectiveness in consultations
4. Other
Weight =
Comments: (Refer to previous year goals as applicable)
OVERALL EVALUATION INCLUDING GOAL ACHIEVEMENTS:
RATING: ______________
GOALS AND OBJECTIVES FOR NEXT YEAR:
(Goals and objectives should be established for each area of significant responsibility.)
Revised July 2013
2
PROJECTED WEIGHTS FOR NEXT YEAR'S EVALUATION:
Service Weight:
Teaching Weight:
Research and Scholarship Weight:
Patient Care Weight:
Signature of Evaluator
Date
Faculty Member's response to the Evaluation/and Goals and Objectives (optional)
Signature (required)
Date
Salary Increase:
Chairperson’s Signature
Date
Revised July 2013
3