universite paul sabatier

UNIVERSITE PAUL SABATIER
TOULOUSE III
Ingénierie du Diagnostic, de l'Instrumentation et de la Mesure Parcours Technologies et Méthodologies Médicales
ANNEXE 1 : INTERNSHIP HALF-WAY ASSESSMENT FORM to be sent to Training :
M. Jean-Michel LAGARDE – IDIM-TMM Internship Tutor
Skin Research Centreu, Pierre Fabre Dermo-Cosmétique
Director Skincare Imaging and Engineering
E-mail : [email protected]
Copy to Mme Clara FOURNIER-NOEL – ’IDIM-TMM supervisor
E-mail : [email protected]
Copy to Mme Aude FABRE – IDIM-TMM secretariat
E-mail : [email protected]
Student Name
Student Level
Internship Tutor
&
Company Name
M1
M1
M2
M2
ASSESSMENT : place cross in the appropriate box
General Performance
Presentation
Adaptability
Sociability
Punctuality
Reliability
Knowledge level
Task understanding
Initiative
Practical sense
Listening ability
Expression ability
Autonomy
Very Poor
Poor
Average
Very Good
Excellent
Exceptional
OBSERVATIONS/COMMENTS :
...........................................................................................................................
..........................................................................................................................................................................................
..........................................................................................................................................................................................
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MARKING :
Please use the opposite suggested guidelines with a view to obtain
objective and uniform marking:
Proposed Half-way mark :
/ 20
>16
14-16
12-14
10-12
8-10
<8
Signature of Tutor, date and Company stamp :
Excellent to exceptional
Very Good
Good
Average
Poor
Very Poor
UNIVERSITE PAUL SABATIER
TOULOUSE III
Ingénierie du Diagnostic, de l'Instrumentation et de la Mesure Parcours Technologies et Méthodologies Médicales
ANNEXE 2 : INTERNSHIP FINAL ASSESSMENT FORM to be mailed to Training :
M. Jean-Michel LAGARDE – IDIM-TMM Internship Tutor
Skin Research Centreu, Pierre Fabre Dermo-Cosmétique
Director Skincare Imaging and Engineering
E-mail : [email protected]
Copy to Mme Clara FOURNIER-NOEL – ’IDIM-TMM supervisor
E-mail : [email protected]
Copy to Mme Aude FABRE – IDIM-TMM secretariat
E-mail : [email protected]
Student Name
Student Level
Internship Tutor
&
Company Name
M1
M1
M2
M2
ASSESSMENT : place cross in the appropriate box
General Performance
Presentation
Adaptability
Sociability
Punctuality
Reliability
Knowledge level
Task understanding
Initiative
Practical sense
Listening ability
Expression ability
Autonomy
Very Poor
Poor
Average
Very Good
Excellent
Exceptional
OBSERVATIONS/COMMENTS :
...........................................................................................................................
..........................................................................................................................................................................................
..........................................................................................................................................................................................
..........................................................................................................................................................................................
..........................................................................................................................................................................................
..........................................................................................................................................................................................
MARKING :
Please use the opposite suggested guidelines with a view to obtain
objective and uniform marking:
Proposed Half-way mark :
/ 20
>16
14-16
12-14
10-12
8-10
<8
Signature of Tutor, date and Company stamp
Excellent to exceptional
Very Good
Good
Average
Poor
Very Poor
UNIVERSITE PAUL SABATIER
TOULOUSE III
Ingénierie du Diagnostic, de l'Instrumentation et de la Mesure Parcours Technologies et Méthodologies Médicales
ANNEXE 3 : INTERNSHIP REPORT AND PRESENTATION EVALUATION FORM
To be submitted latest on day of presentaion
Student Name
M1
M2
REPORT (25 %)
Presentation (1)
Presentation of context
Presentation of objectives
Supporting documentation
(relevance, reference…)
Summary in English/French
Methodology
(description, logical analysis, …)
Synthesis
Analytical approach
Result
Prospective
Report submittal
Report requirements
ORAL (25%)
Presentation (2)
Presentation of context
Presentation of objectives
Synthesis
Analytical approach
Result
Prospective
QUESTIONS (15%)
Attitude (3)
Synthesis
Analytical approach
Correctness of answers
POSTER (10%)
Attitude (3)
Synthesis
Analytical approach
Correctness of answers
Presentation Board Member
Signature
Internship Tutor
Training Supervisor (JM. Lagarde)
Faculty Tutor
Presentation Board Member
<8
Very poor
8-10
Poor
10-12
Average
12-14
Very Good
14-16
Excellent
 in time
 lae (specify number of days) :
Bonus/malus: Not presented (-1) Presented : mark [0 – 1]
<8
8-10
10-12
12-14
> 16
Exceptional
mark :
14-16
> 16
<8
8-10
10-12
12-14
14-16
> 16
<8
8-10
10-12
12-14
14-16
> 16
Internship difficulty(4)
Very low
Low
Average
Human contact
Report drafting
Technicality
Experimental
(1) Presentation (form: style, errors, plan, summary, abbreviations, annexes, bibliography….
(2) Presentation (form): style, errors, plan, summary, oral facility, timing management…
(3) Student attitude to questioning : arrogance, modesty, attention, courtesy…
(4) Marking is focused on: has the student encountered a problem in these respects …?
High
Very high
UNIVERSITE PAUL SABATIER
TOULOUSE III
Ingénierie du Diagnostic, de l'Instrumentation et de la Mesure Parcours Technologies et Méthodologies Médicales
ANNEXE 4 : AUTHORISATION TO DISTRIBUTE/COMMUNICATE POSTER :
To be mailed latest on day of presentation
Copy to Mme Clara FOURNIER-NOEL – IDIM-TMM supervisor
E-mail : [email protected]
Copy to Mme Aude FABRE – IDIM-TMM decretariat
E-mail : [email protected]
M. Jean-Michel LAGARDE – IDIM-TMM Internship Tutor
Skin Research Centreu, Pierre Fabre Dermo-Cosmétique
Director Skincare Imaging and Engineering
E-mail : [email protected]
…………………………………… (name) student of IDIM –TMM and the IDIM TMM represented by Clara FournierNoëlrequest your authorisation for the distribution in pdf format A0, of the poster concerning the internship undertaken
in the Department/Company indicated below:
…………………………………………………………………………………………………………………………………
on the subject of …………………………………………………………………………………………………………
in the year 2011,
under the responsibility ……………………………………………………..……………………………………………..
The « poster » is a Faculty requirement designed to enhance student communication, and may be used within the
Faculty and for external use (in communications for example with French national bodies responsible for Biomedical
Engineering activities)..
They may also be distributed on the IUPIDIM website. The document may pertain to either all or part of the
internship programme.
Poster distribution accepted :
 yes
If no, please state reason :
no
Student name may be revealed :
 yes
no
Tutor(s) name(s)
:
 yes
no
Company/Department name :
 yes
no
Student signed
Company Tutor signed
Company Stamp
Training Supervisor :
Dr Clara Fournier-Noël
UNIVERSITE PAUL SABATIER
TOULOUSE III
Ingénierie du Diagnostic, de l'Instrumentation et de la Mesure Parcours Technologies et Méthodologies Médicales
Exemple de Maquette de poster :