OMAN MEDICAL SPECIALITY BOARD
INTERNAL MEDICINE RESIDENCY PROGRAM
RESEARCH ASSESSMENT FORM
(Six Monthly Research Evaluation Form)
Resident:
Supervisor:
Title of Research:
________________________________________________________
________________________________________________________
________________________________________________________
Did the resident schedule regular meetings with the research group in the last 6 months?
What is the current stage?
Formulating a research quest
Literature review
Piloting
Research proposal approval
Data collection
Data analysis
Writing the paper
Paper submission
Mark the right box:
The overall contribution of the resident to the research project?
Poor
Unsatisfactory
Satisfactory
Excellent
The enthusiasm and the commitment of the resident?
Poor
Unsatisfactory
Satisfactory
Excellent
Satisfactory
Excellent
The quality of work done so far?
Poor
Unsatisfactory
Do you expect the research project to finish on time?
Yes
No
Signature of the Resident:
_____________________________
Date: _____________________
Signature of the Supervisor: _____________________________
Date: _____________________
Internal Medicine Research Assessment Form_ created 9/2014