Progress tracking forms 2010-11 (Revised July 16, 2010)
Department of Otolaryngology
Progress Tracking Form 1: Objectives defined by student & supervisors
Student: ________________
Period:
Basic Supervisor _____________
□ January 1 to June 30
(Due: Jan. 15)
Clinical Supervisor: _______________
□ July 1 to December 31
(Due: July 15)
Research Objectives
Numbered list of objectives for the above 6-month period, as defined by both supervisors & the student
1.
By signing below, the parties acknowledge that the objectives described above are acceptable. Please note that failure to
meet objectives on any 2 progress reports may be cited as grounds for unsatisfactory progress, which may require
that a student withdraw from the program of study.
Student:
_____________________________
Date: ________________
Basic-science Supervisor:
_____________________________
Date: ________________
Clinical Supervisor:
_____________________________
Date: ________________
Director of Graduate Program
______________________________
Date:_________________
 Student did not sign form and does not agree with objectives and/or evaluation (student explanations attached).
The original signed copy of this form must be submitted the Graduate Program Director
Page 1 of 1
Department of Otolaryngology
Progress Tracking Form 2: Student Progress
Student: ________________
Period:
Basic Supervisor _____________
□ January 1 to June 30
(Due: June 15)
Clinical Supervisor: _______________
□ July 1 to December 31
(Due: Dec 15)
Student’s Progress Report: Part A
Numbered list of progress achievements corresponding to list of objectives previously submitted for this 6-month
period, as prepared by the student
1.
Page 1 of 2
Department of Otolaryngology
Progress Tracking Form 2: Student Progress
Student’s Progress Report: Part B
Other activities and accomplishments (including other research or enrichment activities, demonstrating, presentations,
courses, prizes, publications etc.)
1.
Number of meetings with supervisors since last progress report: ______
Student:
_____________________________
Date: ________________
The original signed copy of this form must be submitted the Graduate Program Director
Page 2 of 2
Department of Otolaryngology
Progress Tracking Form 3: Evaluation by Supervisors (using one45)
Student: ____________________
Period:
Basic Supervisor ________________ Clinical Supervisor: _________________
□ January 1 to June 30
(Due: June 22)
□ July 1 to December 31
(Due: Dec 23)
Can’t
judge
Unsatisfactory
Borderline
Satisfactory
Superior
Top
10%
A
Medical Expert
Performs good literature review for research project
Critically reviews literature (e.g., to guide research)
Writes effective research proposals/grants
B
Scholar
B1 Knows what he/she knows and does not know, and can
fill in personal knowledge gaps
B2 Understands/does good research:(Question? Literature?
Protocol? Analysis? Interpret? Significant? Next?)
B3 Can and/or has contributed to new knowledge
B4 Facilitates learning of others
C
Communicator
C1 Communicates ideas & plans to others, while
understanding & integrating advice from others
C2 Communication establishes effective relationships with
others (collaborators, technical, support, patients etc)
C3 Writes papers effectively; gets publications
C4 Prepares reports well
C5 Gives oral-slide presentations (local; meetings) well
D
Collaborator
D1 Consults effectively, creates new links, and works well
with others (colleagues, technical staff etc)
E
Manager
E1 Manages time & organizes well, meeting milestones
E2 Implements supervisor guidance effectively
F
Professional
F1 Knows ethics, professionalism and research procedures
F2 Displays highest levels of ethics, honesty,
professionalism interpersonal behavior & compassion
G
Health Advocate
G1 Relates research & health advocacy issues
OVERALL (NB: Above ratings may have unequal weights)
A1
A2
A3
Comments:
By signing below, all parties acknowledge that the evaluation & progress described above are acceptable. Please note that
failure to meet objectives on any 2 progress reports may be cited as grounds for unsatisfactory progress, which may
require that a student withdraw from the program of study. Append comments on next page, using above lettered bullets.
Student:
________________________________
Date: ________________
Basic-science Supervisor:
________________________________
Date: ________________
Clinical Supervisor:
________________________________
Date: ________________
Director of Graduate Program
________________________________
Date:_________________
 Student did not sign form and does not agree with objectives and/or evaluation (student explanations attached).
The original signed copy of this form must be submitted the Graduate Program Director
Timetable for progress tracking
Progress tracking submission deadlines 2010-11
Because time passes very quickly, it is important to clearly define objectives and to monitor progress during research
activities. In order to ensure that projects precede optimally, progress tracking will be employed using Departmental
Progress Tracking Forms on a 6-month cycle (See Dr Segal for forms; notification to complete Form 3 will be sent by
email from the one45 system). Progress-tracking for Master’s students continues until student submits their Masters
thesis.
Submission
Deadline
Form 1 (objectives)
Student + Supervisors
January 15, 2010
June 15, 2010
June 22, 2010
December 15, 2010
December 23, 2010
June 15, 2011*
June 22, 2011*
Jan 1 to June 30, 2010
Period
Form 2 (progress)
Student
Form 3 (evaluation**)
Supervisors
Jan 1 to June 30, 2010
July 1 to Dec 31, 2010
Jan 1 to June 30, 2010
July 1 to Dec 31, 2010
January 1 to June 30, 2011*
July 1 to Dec 31, 2010
January 1 to June 30, 2011*
January 1 to June 30, 2011*
* Required for Masters students; recommended for Enrichment-Year students
** Supervisors must jointly complete Form 3, and discuss the evaluation with the student at least one week before the 6month period ends. After discussing the form with the student, the form must be completed on-line using one45, within a
week.