K.S.R.

INSTITUTE OF DENTAL SCIENCE & RESEARCH

This is to certify that this is the bonafide record of the work done by
Dr. Thiruvenkadam G in the Department of Pedodontics and
Preventive Dentistry, K.S.R. Institute of Dental Science & Research
during his post graduation from 2011-2014.

Signature of the
Date:

HEAD OF THE DEPARTMENT

Library Dissertation

Topic

Cognitive and emotional changes : From infancy through

adolescence

Date

Selection of Topic

First copy for correction

Corrected on

Second copy for correction

Correction on

Submission

Signature

Dissertation
Topic

Approval of Topic

Article Collection

Discussion on Materials & Methods

Signature

Date

Signature

Pilot Study

Study Completed on

Title

Date

Introduction

Aim &Objectives

Review of Literature

Materials

Result

Discussion & Conclusion

Submission of Dissertation

Continuous Evaluation of Dissertation Work Done By

Guide / CoGuide
Date:
Name of the Faculty / Observer:

S.No

1.

2.

3.

Points to be
considered

Periodic consultation
with guide / co - guide

Regular collection of
case material
Depth in analysis /
Discussion
Total score

Poor
0

Below
Average
1

Average
2

Good
3

Very
Good
4

Evaluation of Seminar Presentation

Topic:
Date:
Name of the Faculty/Observer:
S.N
o

Items for observation

during presentation

1.

Whether other relevant

publication consulted

2.

Whether cross references

have been consulted

3.

Completeness of preparation

4.

Clarity of presentation

5.

Understanding of Subject

6.

Ability to answer question

7.

Time scheduling

8.

Audio visual aids used

9.

Overall performance

10

Any other observation

Total score

Poor
0

Below
Average
1

Average
2

Good
3

Very
Good
4

Evaluation of Journal Review Presentation

Topic:
Date:
Name of the Faculty/Observer:
S.N
o

Items for observation

during presentation

1.

Article chosen

2.

Extent of understanding of
scope and objectives of the
paper by the candidate

3.

Whether cross references

have been consulted

4.

Whether other relevant

publication

5.

Ability to respond to
questions on the paper /
subject

6.

Audio visual aids used

7.

Ability of defend the paper

8.

Clarity of presentation

9.

Any other observation

Total Score

Poor
0

Below
Average
1

Average
2

Good
3

Very
Good
4

Evaluation of Teaching Skill

Date:
Name of Faculty / Observer:
S.No

Items for observation

Communication of purpose of the talk

Evokes audience interest in the subject

The introduction

The sequence of ideas

The use of practical examples and / or

illustrations

Speaking style

Attempts audience participation

Summary of main points at the end

Asks questions

10

Answers questions asked by audience

11

Rapport of speaker with his audience

12

Effectiveness of the talk

13

Uses AV aids appropriately

Strong
Point

Weak
Point

Evaluation from the clinical case presentation

Name of the trainee:
Name of Faculty / Observer:
S.No

Items for observation during

presentation

1.

Completeness of history

2.

Whether all relevant points elicited

3.

Clarity of presentation

4.

Logical order

5.

Mentioned all positive and negative

6.

Accuracy of general physical

examination

7.

Diagnosis: whether it follows logically

from history and findings

8.

Investigations required
Complete list
Relevant order
Interpretation of investigations

9.

Ability to react to questioning whether

it follows logically from history to
finding

10.

Ability of defend diagnosis

11.

Ability to justify differential diagnosis

Grand Total

Poor
0

Below
Average
1

Average
2

Good
3

Very
Good
4

Dental Health Camps

No

Date

Name of School / Area

Signature

Conference / Workshops

No

Date

Conferences / Workshops Attended

Paper / Poster Presentation

No

Date

Title of paper/poster presented

Publication

No

Title and Journal Details

Signature

Leave Particulars

No

Date

No of Days

Signature