2018 ANNUAL FACULTY EVALUATION FORM (PART II) (To be completed by the department chair or evaluator) Faculty Last Name: Faculty First Name: Degree: Department: Track: Tenure Non-Tenure If Tenure Track, Tenure Status: Acquiring Tenured Date of Application for Promotion to Associate Professor / Professor / Tenure: or NA This faculty member elects to be placed on the Medical Educator Pathway or Clinical Educator Pathway By checking this box, the chair attests that the faculty member meets the eligibility for the selected promotion pathway, if applicable. Primary Responsibilities (As determined with Department Chair) Check primary area of responsibility and enter approximate percentage of time Teaching (__ %) Clinical Service (__ %) Scholarship (__ %) Public Service (__ %) Teaching, Precepting and Curricular Development Last year’s Chair- Assigned Goals / Objectives: Exceeds Expectations Meets Expectations Needs Improvement General criteria for Promotion / Tenure: Exceeds Expectations Meets Expectations Needs Improvement Specific criteria for Promotion / Tenure: Exceeds Expectations Meets Expectations Needs Improvement Chair’s Comments and Recommended Goals / Objectives for Next 12 Months: Scholarship in Research, Medical Education and / or Patient Care (abstracts, presentations, manuscripts, electronic postings, innovations, collaborations, grants, contracts, etc.) Last year’s Chair-Assigned Goals / Objectives: Exceeds Expectations Meets Expectations Needs Improvement General criteria for Promotion / Tenure: Exceeds Expectations Expectations Needs Improvement Specific criteria for Promotion / Tenure: Exceeds Expectations Meets Expectations Needs Improvement Chair’s Comments and Recommended Goals / Objectives for Next 12 Months:
2018 ANNUAL FACULTY EVALUATION FORM (PART II) (To be completed by the department chair or evaluator) Faculty Last Name: Faculty First Name: Degree: Department: Track: Tenure Non-Tenure If Tenure Track, Tenure Status: Acquiring Tenured Date of Application for Promotion to Associate Professor / Professor / Tenure: or NA This faculty member elects to be placed on the Medical Educator Pathway or Clinical Educator Pathway By checking this box, the chair attests that the faculty member meets the eligibility for the selected promotion pathway, if applicable. Primary Responsibilities (As determined with Department Chair) Check primary area of responsibility and enter approximate percentage of time Teaching (__ %) Clinical Service (__ %) Scholarship (__ %) Public Service (__ %) Teaching, Precepting and Curricular Development Last year’s Chair- Assigned Goals / Objectives: Exceeds Expectations Meets Expectations Needs Improvement General criteria for Promotion / Tenure: Exceeds Expectations Meets Expectations Needs Improvement Specific criteria for Promotion / Tenure: Exceeds Expectations Meets Expectations Needs Improvement Chair’s Comments and Recommended Goals / Objectives for Next 12 Months: Scholarship in Research, Medical Education and / or Patient Care (abstracts, presentations, manuscripts, electronic postings, innovations, collaborations, grants, contracts, etc.) Last year’s Chair-Assigned Goals / Objectives: Exceeds Expectations Meets Expectations Needs Improvement General criteria for Promotion / Tenure: Exceeds Expectations Expectations Needs Improvement Specific criteria for Promotion / Tenure: Exceeds Expectations Meets Expectations Needs Improvement Chair’s Comments and Recommended Goals / Objectives for Next 12 Months:
Annual_Faculty_Evaluation_Part_2_Form_for_chairs.docx