Dody Firmanda 2011 - Komite Medis 04-Form Penilaian Kredensial dan Rekredensial
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Transcript of Dody Firmanda 2011 - Komite Medis 04-Form Penilaian Kredensial dan Rekredensial
KOMITE MEDIK RSUP FATMAWATI
____________________________________________________________________
PENILAIAN KREDENSIAL TAHAP 2
Nama Calon : ………………………………………………………………………………………………………………..
NIP/PTT : …………………………………………………………………………………………………………………
Kompetensi : Dokter Umum/Dokter Gigi/Dokter Spesialis ……………………………….
Penilai : …………………………………………………………………………………………………………………
Pengetahuan
(Knowledge) (i)
Ketrampilan
(Skill) (ii)
Perilaku
(Attitude) (iii)
Etika Profesi
(iv)
Nilai
(0 s/d 100)
………………………..
………………………..
………………………..
………………………..
Jumlah
(i)+(ii)+(iii)+(iv)
………………………………………………………………………………………………………………..
Nilai Akhir Jumlah (i)+(ii)+(iii)+(iv): 400 X 100 %
………………………………. %
Jakarta, ……………………..20…
Penilai,
(Dr. ………………………………………..)
Nilai :
80 -100 = A
76-79 = A-
73-75 = B+
70-72 = B
66-69 = B-
63-65 = C+
60-62 = C
56-59 = C-
Nilai Batas Lulus (NBL) ≥ 70
F/006/004/R/00