FORM

Mini-Referat / Journal
Presentation Assessment

No. FK/FORM/ADM-AKD/17/Rev-00 Tanggal berlaku : 1 Februari 2018

Student name Dearestha Brilliani

Assessor dr. Monika Widiastuti, Sp.An
Date 18 September 2020
Topic/Title Anestesi Pada Pasien COVID-19

Components Score
F P- P E
Format
• Written in systematically manner and appropriate language
• Sources/Literature review

Content
• Presents relevant, appropriate and accurate material
• Is able to clarify items easily

Performance
• Presents the topic in an organized manner
• Presents in timely, efficient manner
• Presents in a logical manner that allows listeners to follow
easily

Purposes
• Demonstrates a good Depth of knowledge
• Demonstrates Evidence of Effective Literature Search
• Uses Evidence Based Medicine concepts to support
treatments
• Defends presentation to questions

Comments for the student

Note : F = Fail, does not meet requirements = 50

P- = Pass, requires improvement = 70
P = Pass, meets requirements = 80
E = Exceeds requirements = 95 Final score:

Assessor signature, Students signature,

dr. Monika Widiastuti, Sp.An Dearestha Brilliani