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RSDM, NJMS, RWJMS, SN, SPH
Faculty Performance Evaluation
NAME:
TITLE:
DEPARTMENT:
EVALUATOR:
EVALUATION PERIOD:
A. Teaching
(Weight =
)
1. Teaching productivity as reflected in the Faculty Data Form
2. Achievement of teaching goals established during the last evaluation
3. Overall evaluation of teaching effectiveness considering both quantitative and
qualitative elements
Exemplary
Satisfactory
B. Research and Scholarship
Unsatisfactory
(Weight =
)
1. Research and scholarship productivity as reflected in the Faculty Data Form
2. Achievement of research and scholarship goals established during the last
evaluation
3. Overall evaluation of research and scholarship effectiveness considering both
quantitative and qualitative elements
Exemplary
Satisfactory
Unsatisfactory
Page 2
Faculty Performance Evaluation
C. Service
(Weight =
)
1. Service productivity as reflected in the Faculty Data Form
2. Achievement of service goals established during the last evaluation
3. Overall evaluation of service effectiveness considering both quantitative and
qualitative elements
Exemplary
Satisfactory
D. Patient Care
Unsatisfactory
(Weight =
)
1. Patient care productivity as reflected in the Faculty Data Form
2. Achievement of patient care goals established during the last evaluation
3. Overall evaluation of patient care effectiveness considering both quantitative and
qualitative elements
Exemplary
Satisfactory
Unsatisfactory
Overall Evaluation and Comments (Note: the overall evaluation need not be an average
or weighted average of the individual areas.)
Exemplary
Satisfactory
Unsatisfactory
Revised: July 2013
Page 3
Faculty Performance Evaluation
Long-term goals (optional):
Goals and objectives for next evaluation period:
Approvals:
Evaluator
Date
Chair
Date
Dean
Date
Faculty member's response to the evaluation (optional):
Signature (required)
Date
(The faculty member’s signature indicates only that he/she has seen the evaluation.)
Revised: July 2013

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