<p> PhD Annual Progress Report 2017-2018 Student Name and Student Number: Home Address: Office Address: </p><p>Phone: Phone: E-Mail: Fax: </p><p>This form must be completed annually by all PhD candidates enrolled in a PhD Program in IHPME no later than the day before your scheduled annual progress meeting. The form must be completed with the student’s thesis supervisor and/or the Program Director</p><p>Year Admitted into Program: I am currently registered as a student  No  Reason?  Yes   Full-time or  Flex-time Student Number</p><p>If you are on a leave of absence from the Program, specify dates:</p><p>I currently hold a university faculty  No academic appointment:  Yes  University Academic Rank Department Date Appointed I am currently a post-graduate  No trainee  Yes  Year (PGY)</p><p>How many days per week of protected time do you have for the Clinical Epidemiology Program How many half-days during the week (Monday-Friday) will you be doing clinical work or other work? Who will be your direct supervisor for clinical work? Name Phone Email</p><p>Indicate which courses you have already taken and courses you intend to take. 2017-2018 2018-2019 2019-2020 Taken Grade Su F W Sp Su F W Sp Su F W Sp Required Courses HAD5301H Intro to Clinical Epidemiology  and Health Care Research HAD5307H Intro to Applied Biostatistics </p><p>HAD5311H Comprehensive/Synthesis </p><p>HAD5316H Biostatistics II </p><p>HAD5303H Controlled Clinical Trials OR  HAD5304H Clinical Decision Making and  Cost Effectiveness OR HAD5306H Intro to HSR and the Use of  Health Administrative Data OR HAD5309H Observational Studies:  Theory, Design, and Methods Elective Courses HAD5302H Measurement in Clinical  Research</p><p>HAD5305H Evidence Based Guidelines </p><p>Page 1 of 5 PhD Annual Progress Report 2017-2018 2017-2018 2018-2019 2019-2020 Taken Grade Su F W Sp Su F W Sp Su F W Sp HAD5308H Evidence Synthesis:  Systematic Reviews and Meta-Analysis HAD5310H Pragmatic Issues in Conduct  of Controlled Trials HAD5312H Decision Modeling for Clinical  Policy & Economical Evaluation HAD5313H Advanced Design & Analysis  Issues in Clinical Trials HAD5314H Applied Bayesian Methods  HAD5315H Advanced Topics in  Measurement HAD6360H Research Internship  HAD7002H-S Writing Mentorship  HAD5010H Canada's Health System and  Health Policy I HAD5726H eHealth Innovation and  Information Management HAD5727H Knowledge Transfer and  Exchange HAD5730H Economic Evaluation  Methods for Health Services Research HAD5760H Advanced Health Economics  and Policy Analysis Other Courses (please list):   </p><p>Su = Summer; F = Fall; W = Winter; Sp = Spring</p><p>Comprehensive / Synthesis</p><p>Area of Comprehensive Paper</p><p>Date Completed/Anticipated</p><p>Thesis Research Please refer to Step 1 in the Thesis Guidelines in the Student Handbook, Section 2 – if you have your Committee and your thesis topic set now then please complete the Step 1 form and submit it for approval. This information must be submitted by the end of your first year in the program.</p><p>Is a thesis committee established?  No  Yes Thesis Supervisor Committee Members</p><p>Thesis Title</p><p>Page 2 of 5 PhD Annual Progress Report 2017-2018</p><p>Stage of Research (Topic selection, literature review, protocol development, data Collection, data analysis, thesis write-up):</p><p>Date of Proposal Defense or Transfer Protocol Month Year</p><p>Frequency of meetings with Supervisor: (Minimum – once monthly)</p><p>Frequency of meetings with Thesis Committee: (Minimum – twice annually)</p><p>Estimated month and year of thesis completion: Month Year</p><p>Anticipated Work Plan for the Upcoming Year</p><p>This section should document goals for the student over the upcoming year. The Work Plan should be as specific as possible.</p><p>Page 3 of 5 PhD Annual Progress Report 2017-2018 THIS SECTION TO BE COMPLETED BY THE COMMITTEE/SUPERVISOR</p><p>Cannot Unaccep- Below Statis- Above Out- Assess table Average factory Average Standing Progress How would you rate the student’s overall progress in the program? How would you rate the student's overall progress over the past academic year (2017/2018) i.e. according to the study plan laid out in advance between you and the student? Perceived ability of student to work as a clinician scientist, upon completion of training Comments: (Rationale for any ratings marked "unacceptable, below average, or outstanding")</p><p>If any of above is marked "unacceptable or below average", describe remedial measures to be taken:</p><p>Student Funding (to be filled out by the student) How is the student funded for this academic year 2017/2018?</p><p>Does the student earn less than $20,000/year?  No  Yes</p><p>Sponsoring Agencies:</p><p>Fund Source Title/Identifier:</p><p>Duration of Fund Source: From To</p><p>Describe the student’s clinical responsibilities for this academic year 2017/2018:</p><p>PUBLICATION & PRESENTATIONS Is the student publishing in appropriate journals?  No  Yes Attach to this form or list below all publications (accepted, in press, submitted), abstracts, & presentations pertaining to current research</p><p>Page 4 of 5 PhD Annual Progress Report 2017-2018 Recommendation  Has demonstrated adequate progress. May continue in program  Has not demonstrated adequate progress. Failure to demonstrate satisfactory progress by the next meeting may result in termination of registration. o Suggestions for Maintaining Adequate Progress</p><p> o Date of Next Meeting: ______ Has not demonstrated adequate progress. Registration in program is terminated.</p><p>Name of Thesis Supervisor</p><p>Signature of Thesis Supervisor Date</p><p>Signature of Program Director: Date</p><p>For the Student This document accurately reflects the discussion and recommendations at this Meeting of this Review Committee.</p><p>Signature of Student Date</p><p>Please email completed forms to Yanna Sventzouris, CEHCR Program Assistant – [email protected]</p><p>Page 5 of 5</p>