UHA Annual Employee Performance Review

Physician Evaluation of Employee

* Name:

* Today's Date:

PERFORMANCE LEVELS

DISTINGUISHED (5)
Truly outstanding performance that results in extraordinary and exceptional accomplishments with significant contributions to objectives of the department, division, group or company.
COMMENDABLE (4)
Consistently generates results above those expected of the position. Contributes in a superior manner to innovations both technical and functional.
FULLY SATISFACTORY (3)
Good performance with incumbent fulfilling all position requirements and may on occasion generate results above those expected of the position.
NEEDS IMPROVEMENT (2)
Performance leaves room for improvement. This performance level may be the result of new or inexperienced incumbent on the job or an incumbent not responding favorably to instruction.
MARGINAL (1)
Lowest performance level which is clearly less than acceptable, and which is obviously well below minimum position requirements. Situation requires immediate review and action. Possible separation or reassignment is in order without significant and immediate performance improvement.

* JOB KNOWLEDGE
Knowledge of policies and procedures/ knowledge of techniques, skills, equipment related to her job.

5 - Expert in job, has thorough grasp of all phases of job.

4 - Very well informed, seldom requires assistance and instruction.

3 - Satisfactory job knowledge, understands and performs most phases of job well, occasionally requires assistance or instruction.

2 - Requires assistance or instruction.

1 - Lacks knowledge to perform job properly.

* QUALITY OF WORK
Freedom from errors and mistakes. Accuracy, quality of work in general.

5 - Highest quality possible, final job virtually perfect.

4 - Quality above-average with very few errors and mistakes.

3 - Quality very satisfactory, usually produces error-free work.

2 - Room for improvement, frequent errors, work requires checking & re-doing.

1 - Excessive errors and mistakes, very poor quality.

* RELIABILITY
The extent to which the employee can be depended upon to be available for work, do it properly, and complete it on time. The degree to which the employee is reliable and trustworthy.

5 - Highly persistent, always gets the job done on time.

4 - Very reliable, above average, usually persists in spite of difficulties.

3 - Usually gets the job done on time, works well under pressure.

2 - Sometimes unreliable, will avoid responsibility, satisfied to do the bare minimum.

1 - Usually unreliable, does not accept responsibility, gives up easily.

* JUDGEMENT
The extent to which the employee makes decisions which are sound. Ability to base decisions on fact rather than emotion.

5 - Uses exceptionally good judgement when analyzing facts and solving problems.

4 - Above average judgement, thinking is very mature and sound.

3 - Handles most situations very well and makes sound decisions under normal circumstances.

2 - Uses questionable judgement at times, room for improvement.

1 - Uses poor judgement when dealing with people and situations.

* COOPERATION
Willingness to work harmoniously with others in getting a job done. Readiness to respond positively to instructions and procedures.

5 - Extremely cooperative, stimulates teamwork and good attitude in others.

4 - Goes out of the way to cooperate and get along.

3 - Cooperative, gets along well with others.

2 - Indifferent, makes little effort to cooperate or is disruptive to the overall group or department.

1 - Negative and hard to get along with.

* Overall Performance Rating:

Employee Comments:

0/500 characters

* Indicates Response Required