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1. Personal Information: Doctor's basic information including name, medical license number, specialization, department, and period of evaluation
2. Clinical Competency Assessment: Evaluation of medical knowledge, clinical skills, patient care quality, and diagnostic accuracy
3. Professional Behavior: Assessment of communication skills, teamwork, ethics compliance, and professional conduct
4. Administrative Performance: Evaluation of documentation, record-keeping, adherence to hospital protocols, and administrative responsibilities
5. Quality and Safety Metrics: Assessment of patient safety practices, infection control compliance, and quality improvement participation
6. Research and Academic Contributions: Evaluation of research participation, publications, teaching activities, and continuous medical education
7. Performance Goals Review: Assessment of achievement of previously set goals and objectives
8. Future Development Plan: Setting new goals, identifying training needs, and creating development action plans
9. Overall Performance Rating: Final evaluation score and comprehensive performance summary
10. Signatures and Acknowledgment: Space for signatures of the evaluator, doctor, and relevant department heads
1. Specialized Clinical Skills Assessment: For doctors with specific subspecialties requiring additional evaluation criteria
2. Leadership and Management Evaluation: For doctors in leadership positions or with administrative responsibilities
3. Emergency Response Assessment: For doctors working in emergency departments or critical care
4. Patient Feedback Summary: Section incorporating patient satisfaction surveys and feedback
5. Peer Review Results: Including feedback from colleague evaluations when 360-degree assessment is used
6. Financial Performance Metrics: For doctors with revenue responsibilities or private practice arrangements
7. Cultural Competency Assessment: For doctors working in areas with diverse cultural populations
1. Schedule A: Performance Rating Criteria: Detailed scoring guidelines and rating scales for each evaluation category
2. Schedule B: Clinical Competency Checklist: Specific checklist of required clinical skills and procedures for the specialty
3. Schedule C: Professional Development Log: Record of continuing medical education, conferences, and training completed during the evaluation period
4. Schedule D: Incident Report Summary: Summary of any medical incidents, complaints, or commendations during the evaluation period
5. Appendix 1: Self-Assessment Form: Doctor's self-evaluation form to be completed prior to the formal assessment
6. Appendix 2: Performance Improvement Plan Template: Standard template for documenting required improvements and action plans
7. Appendix 3: Required Documentation Checklist: List of supporting documents required for the evaluation process
Healthcare
Medical Services
Hospital Administration
Private Medical Practice
Public Health
Medical Education
Healthcare Quality Assurance
Medical Research
Primary Care
Specialist Care
Human Resources
Medical Affairs
Quality Assurance
Clinical Operations
Medical Education
Hospital Administration
Performance Management
Compliance
Professional Development
Medical Committee
Chief Medical Officer
Hospital Director
Medical Department Head
Clinical Director
Senior Consultant
Specialist Doctor
General Practitioner
Resident Doctor
Medical Committee Member
Quality Assurance Manager
HR Director
Healthcare Administrator
Medical Education Director
Clinical Supervisor
Department Supervisor
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