The University of Tennessee Health Science Center (UTHSC)



Faculty Member NameRankTenure StatusDepartmentCollegePersonnel NumberAPPR RatingNeeds Improvement for RankRelevant area(s) of concern for this plan (check all applicable)TeachingScholarly ActivitiesUnsatisfactory for RankDate of the annual review triggering this planServicePatient CarePlanned ongoing quarterly assessments (month/year)Final Assessment and Evaluation#1#2#3monthyearDescription of Specific Performance ConcernSpecific Performance, Results &/or Outcomes to be Achieved to Address ConcernActivities, Resources &/or Actions to Accomplish Outcomes (2)Metrics to Assess Ongoing ProgressMetrics to Evaluate AchievementMet or Not Met + Date1.2.3.4.Notes: (1) Add more rows if needed (2) Additional narrative should be included on an attached page (3) Attach APPR that triggered plan.Initial Plan DevelopmentFinal Review of PlanFaculty Member SignatureDateFaculty Member SignatureDateDepartment Chair SignatureDateDepartment Chair SignatureDateDean SignatureDateDean SignatureDate ................
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