Dental Internship Training Program Manual 2021

APPENDIX V Intern’s Performance

Dental Internship Training Program

Intern’s Performance
Assessment form for group supervisor

This form is designed to assess the performance and attitude of the intern in the
preparation and production of the research paper and presentation.
Assessment ranges from a perfect score of 5 down to the lowest score of 1.
Please check the appropriate column to indicate your ratings. Kindly accomplish the form
accordingly without leaving any item blank. Please return the accomplished assessment
form to the interns’ secretary.

Name of Intern Meshari Adel Alzaaqi

Very Excell
# Criteria Poor Fair Good good ent
(1) (2) (3) (4) (5)
1 Knowledge of subject

2 Writing ability

3 Motivation, Enthusiasm & Initiative

4 Organization

5 Compliance with instructions

Dependability, resourcefulness and
6
responsibility
7 Professional conduct and personality

8 Interaction with supervising faculty

9 Ability to overcome difficulties

10 Ability to generate idea

TOTAL OUT OF 50

Comments:

Computation for overall research

Research Supervisor:
evaluations:
Signature:
Total Score /10 =
Date:

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King Saud University College of Dentistry

DENTAL INTERNSHIP TRAINING PROGRAM