PHILIPPINE ACADEMY OF FAMILY PHYSICIANS
COMMITTEE ON AWARDS
Ìý
PAG-ASA AWARD
Ìý
Mechanics
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- Any Chapter or training program can join this contest.
- Submit an abstract of your Environmental Project using the format prescribed (Appendix A)
- After initial screening, an initial list of the top 3 finalists will be released. A site visit will be conducted. Site Evaluation Form in Appendix B.
- The 3 finalist will present in the Midyear convention. Guidelines for oral presentation on Appendix C.
INITIAL SCREENING
APPENDIX A
Pag- asa award environmental Project Format of Report for Initial ÌýScreening
Ìý1.ÌýTitle of Projects
Ìý2. Designated lead Person
Ìý3. Name of Chapter or Training Program
Ìý4. Description of Project
Ìý5. Objectives
Ìý6. Number of Family Medicine doctors involved
Ìý7. Number of persons in the community who benefited
Ìý8. Impact/ benefits on the community
Ìý9. Total cost
Ìý10. Pictures
APPENDIX B:
PHILIPPINE ACADEMY OF FAMILY PHYSICIANS, INC
PAG-ASA AWARD
SITE VISIT EVALUATION OF ENVIRONMENTAL PROJECT
Project title:ÌýÌýÌýÌýÌý ___________________________________________
Chapter/ Training Program: ÌýÌýÌýÌýÌýÌý _______________________________
Location:ÌýÌýÌýÌýÌýÌýÌýÌýÌý ___________________________________________
| PARAMETERS | REMARKS | |||
| A. Involvement (40%) | 3 | 2 | 1 | |
| 1. Family- medicine driven (involvement of members) | >10 FM | 5-9 FM | <5 FM | |
| 2. Degree of community involvement | >20 | 10-19 | <10 | |
| 3. Linkages and collaboration done
|
2 | 1 | 0 | |
| SUBTOTAL (score/ 9×40) | ||||
| B. Project (60%) | ||||
| 1. innovative/ originality of project design | excellent | satisfactory | poor | |
| 2. Sustainability | >1 year | Between 6-11 months | <6 months | |
| 3. Impact to the community (relevance and address needs of community) | very relevant | relevant | not relevant | |
| 4. Project cost (affordability) | <20,000 | 20,000-40,000 | >40,0000 | |
| SUBTOTAL (score/ 12×60) | ||||
| TOTAL SCORE |
Evaluated by:
____________________________
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APPENDIX C:
PHILIPPINE ACADMY OF FAMILY PHSYICIANS
PAG-ASA AWARD
Ìý
ÌýEvaluation of Oral Presentation
Environmental Project
Ìý
NAME OF CHAPTER/TRAINING PROGRAM: _________________________
| CRITERIA | 1- Needs improvement | 2- Satisfactory | 3- Excellent | REMARKS |
| CONTENT 80% | ||||
| Relevance: To what extent are the objectives justified in relation to needs? | ||||
| Effectiveness: To what extent have the expected objectives been achieved? | ||||
| Efficiency: Have the objectives been achieved? | ||||
| Utility: Are the expected or unexpected effects contributing to a net increase in social welfare? | ||||
| DELIVERY 20% | ||||
| Clear oral presentation | ||||
| Appropriate visual materials | ||||
| Able to answer questions |
Evaluator: ______________________________
Signature over Printed name