form supervisor

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ELECTIVE STUDY PROCESS FINAL ASSESMENT BY SUPERVISOR Title : Barotrauma Telinga Tengah Pada Penerbangan Exam Date/Time : Sabtu, 28 Januari 2012 Student Name : Ida Bagus Aditya Yudhananda Student ID Number : 0902005137 Supervisor : Prof. Dr. W. Suardana, Sp.THT-KL Assesment : The process are approximately as follows : No. Item Assesment Range Score Score 1 Log book 0-30 2 Observation : - Communication - Attendance - Gesture and posture 0-40 3 Ability to find the literature 0-30 Total 0-100 Final Result (Score) : Criteria : A B C D E (please circling the criteria) Result range : A : 80-100 B : 70-79 C : 55-69 D : 45-54

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ELECTIVE STUDY PROCESS FINAL ASSESMENTBY SUPERVISOR

Title : Barotrauma Telinga Tengah Pada Penerbangan

Exam Date/Time : Sabtu, 28 Januari 2012

Student Name : Ida Bagus Aditya YudhanandaStudent ID Number : 0902005137Supervisor : Prof. Dr. W. Suardana, Sp.THT-KL

Assesment :

The process are approximately as follows :

No. Item Assesment Range Score Score

1 Log book 0-30

2

Observation :- Communication- Attendance- Gesture and posture

0-40

3 Ability to find the literature 0-30

Total 0-100

Final Result (Score) :Criteria : A B C D E (please circling the criteria)Result range :

A : 80-100B : 70-79C : 55-69D : 45-54E : 0-44

Supervisor,

Prof. Dr. W. Suardana, Sp.THT-KL NIP 00992


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