KOLEGIUM MAHASISWA

DEWAN PERWAKILAN MAHASISWA

FAKULTAS KEDOKTERAN UNIVERSITAS BRAW

Jl. Mayjen Haryono 171 Kampus Sumbersari Malang 6
Telp. (0341) 569117,567192-Fax. (0341) 564755
Email:dpmfk@ub.ac.id

No

Nama

NIM

Jabatan

1
2
3
4
5
6
7
8
9
10
11
12
13

Dewangga Primananda Susanto

Dadang Putrawansyah
Hesttya Elvasisca Mourend
Ilmania Norma Aini
Muhammad Hafidl Hasbullah
Putu Nina Belinda Saka
Ananda Rizky
Dewa Ayu Megayanti
Chrisandi Yusuf R
Yohana Rusmeita Sari
Yeni Purnama Sari
Athaya Febriantyo Purnomo
Rita Novita Sari

105070103121008
105070200131003
105070106111006
105070103111006
105070201131016
105070104121013
115070100111054
115070100111028
115070100111033
105070104111004
115070107111011
115070100111014
115070207111006

President
1st Vice President
2nd Vice President
Treasurer
General Secretary
Leader of Amsa Elite Chairperson (AEC)
Chief of Member and Delegation (MnD)
Chief of Research and Academic (RnA)
Chief of Poster and Publication (PnP)
Chief of Asian Medical Student Exchange Program (AMSEP)
Chief of Entrepreneur Team (ET)
Chief of Club
Chief of Division of Action (DoA)
Total
Rata-rata

soal 1
4.0
0.0
5.0
0.0
5.0
5.0
0.0
5.0
0.0
0.0
0.0
5.0
0.0
29.0
2.2

EVAL KINER
soal 2
2.0
0.0
2.0
0.0
2.0
2.0
0.0
2.0
0.0
0.0
0.0
2.0
0.0
12.0
0.9

Nilai Eval Pengetahuan dan Kinerja Lembaga

Nilai Eval Program Kerja Lembaga
Nilai Total UTUL 2

Religius, Moralis, Intelek, Profesional

WA
ASISWA

AS BRAWIJAYA
Malang 65145
1) 564755

AL KINERJA LEMBAGA
soal 3
soal 4
3.0
2.5
0.0
0.0
3.0
2.5
0.0
0.0
3.0
1.5
3.5
2.5
0.0
0.0
3.0
2.5
0.0
0.0
0.0
0.0
0.0
0.0
3.0
2.5
0.0
0.0
18.5
14.0
1.4
1.1

sional

7
4.5
11.3

soal 5
2.5
0.0
2.0
0.0
2.5
2.5
0.0
2.5
0.0
0.0
0.0
2.5
0.0
14.5
1.1

soal 1
1.5
0.0
1.5
0.0
1.5
1.5
0.0
1.5
0.0
0.0
0.0
1.5
0.0
9.0
0.7

EVAL PROKER LEMBAGA

soal 2
soal 3
soal 4
0.0
4.0
3.0
0.0
0.0
0.0
0.0
4.0
1.0
0.0
0.0
0.0
3.0
4.0
0.0
0.0
4.0
3.0
0.0
0.0
0.0
0.0
4.0
3.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
4.0
2.0
0.0
0.0
0.0
3.0
24.0
12.0
0.2
1.8
0.9

soal 5
2.0
0.0
2.0
0.0
1.5
2.0
0.0
1.5
0.0
0.0
0.0
2.0
0.0
11.0
0.8

SPMK*

Menyontek*

Mengobrol*

Total

Rata-rata

(v)

(-)

(-)

(v)

(-)

(-)

(v)
(v)

(-)
(-)

(-)
(-)

(v)

(-)

(-)

(v)

(-)

(-)

24.5
0.00
23.0
0.00
24.0
26.0
0.00
25.0
0.00
0.00
0.00
24.5
0.00
147.0
11.3

1.36
0.00
1.28
0.00
1.33
1.44
0.00
1.39
0.00
0.00
0.00
1.36
0.00
8.17
0.6

TOTAL:
RATA-RATA:

KO
DEWAN

FAKULTAS KE
Jl. Mayjen Hary
Telp. (034

No

Nama

NIM

Jabatan

1
2
3
4
5
6
7
8
9
10
11
12
13

Dewangga Primananda Susanto

Dadang Putrawansyah
Hesttya Elvasisca Mourend
Ilmania Norma Aini
Muhammad Hafidl Hasbullah
Putu Nina Belinda Saka
Ananda Rizky
Dewa Ayu Megayanti
Chrisandi Yusuf R
Yohana Rusmeita Sari
Yeni Purnama Sari
Athaya Febriantyo Purnomo
Rita Novita Sari

105070103121008
105070200131003
105070106111006
105070103111006
105070201131016
105070104121013
115070100111054
115070100111028
115070100111033
105070104111004
115070107111011
115070100111014
115070207111006

President
1st Vice President
2nd Vice President
Treasurer
General Secretary
Leader of Amsa Elite Chairperson (AEC)
Chief of Member and Delegation (MnD)
Chief of Research and Academic (RnA)
Chief of Poster and Publication (PnP)
Chief of Asian Medical Student Exchange Program (AMSEP)
Chief of Entrepreneur Team (ET)
Chief of Club
Chief of Division of Action (DoA)
Total
Rata-rata per soal

soal 1
1.0
1.0
1.0
0.0
0.5
1.0
0.5
0.0
0.5
0.0
0.0
0.5
0.5
6.5
0.5

Nilai Eval Pengetahuan dan Kinerja Lembaga

Nilai Eval Program Kerja Lembaga
Nilai Total UTUL 1

Religiu

KOLEGIUM MAHASISWA
DEWAN PERWAKILAN MAHASISWA
FAKULTAS KEDOKTERAN UNIVERSITAS BRAWIJAYA
Jl. Mayjen Haryono 171 Kampus Sumbersari Malang 65145
Telp. (0341) 569117,567192-Fax. (0341) 564755
Email:dpmfk@ub.ac.id

soal 2
1.0
1.0
1.0
0.0
1.0
1.0
1.0
0.0
1.0
0.0
0.0
1.0
1.0
9.0
0.7

soal 3
1.0
1.0
1.0
0.0
1.0
1.0
1.0
0.0
1.0
0.0
0.0
1.0
1.0
9.0
0.7

EVAL KINERJA LEMBAGA

soal 4
soal 5
soal 6
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
0.0
0.0
0.0
1.0
1.0
1.0
1.0
1.0
1.0
1.0
3.0
1.0
0.0
0.0
0.0
3.0
3.0
1.0
0.0
0.0
0.0
0.0
0.0
0.0
1.0
1.0
1.0
1.0
1.0
1.0
11.0
13.0
9.0
0.8
1.0
0.7

8
10.7
18.3

Religius, Moralis, Intelek, Profesional

soal 7
1.0
1.0
1.0
0.0
1.0
1.0
0.5
0.0
1.0
0.0
0.0
1.0
1.0
8.5
0.7

soal 8
1.0
1.0
1.5
0.0
1.5
1.5
1.0
0.0
1.0
0.0
0.0
1.0
1.5
11.0
0.8

soal 9
1.0
3.0
3.0
0.0
3.0
3.0
1.0
0.0
3.0
0.0
0.0
3.0
3.0
23.0
1.8

soal 1
2.0
1.0
2.0
0.0
1.0
2.0
2.0
0.0
1.0
0.0
0.0
2.0
2.0
15.0
1.2

EVAL PROKER LEMBAGA

soal 2
soal 3
soal 4
soal 5
3.0
1.5
2.0
4.5
3.0
1.5
2.0
3.0
2.0
1.5
2.0
3.0
0.0
0.0
0.0
0.0
3.0
0.5
2.0
3.0
2.0
0.5
2.0
3.0
3.0
1.5
2.0
3.0
0.0
0.0
0.0
0.0
3.0
0.5
2.0
4.5
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
3.0
1.5
2.0
3.0
2.0
1.5
2.0
3.0
24.0
10.5
18.0
30.0
1.8
0.8
1.4
2.3

KASUS
5.0
5.0
5.0
0.0
5.0
5.0
3.0
0.0
5.0
0.0
0.0
5.0
3.0
41.0
3.2

SPMK*

Menyontek*

Mengobrol*

Total

Rata-rata

(v)
(v)
(v)

(-)
(-)
(-)

(v)
(v)
(v)

(v)
(v)
(v)

(-)
(-)
(-)

(v)
(v)
(v)

(v)

(-)

(v)

(v)
(-)

(-)
(-)

27.0
26.5
27.0
0.00
25.5
26.0
24.5
0.00
30.5
0.00
0.00
27.0
24.5
238.5
18.3

1.50
1.47
1.50
0.00
1.42
1.44
1.36
0.00
1.69
0.00
0.00
1.50
1.36
13.25
1.0

(v)
(v)
TOTAL:
RATA-RATA:

KOLEGIUM MAHASISWA
DEWAN PERWAKILAN MAHASISWA
FAKULTAS KEDOKTERAN UNIVERSITAS BRAWIJAYA
Jl. Mayjen Haryono 171 Kampus Sumbersari Malang 65145
Telp. (0341) 569117,567192-Fax. (0341) 564755
Email: dpmfk@ub.ac.id
INPUT

mengumpulkan ontime

terlambat dengan alasan

terlambat tanpa alasan

tidak mengumpulkan

RPO dan Standar 1

1.25

0.25

AD/ART

1.25

0.25

PROSES
Berkas 7 Standar

pengumpulan
0

Berkas Lengkap
0

Standar 2
1

Standar 3
0.75

Standar 4
0

Standar 5
1

Standar 6
2.5

0
total nilai input

PROSES

Soal No. 1

Soal No. 2

Soal No. 3

Nilai Total

Forum Ketua
Lembaga*

1.5

5.5

DPM Spreading**

2.1

7.1
12.6

Nilai Total Proses

Nilai Total Kinerja Lembaga

Religius, Moralis, Intelek, Profesional

WA

AWIJAYA
ng 65145
755

nilai
0.25
0.25
0.5

Standar 7
2

Nilai
7.25

UTUL Pengetahuan dan

Kinerja Lembaga

Nilai Akhir
UTUL

pertama

kedua

rata-rata UTUL

7.5

27.35
27.85

KOLEGIUM MAHASISWA
DEWAN PERWAKILAN MAHASISWA
FAKULTAS KEDOKTERAN UNIVERSITAS BRAWIJAYA
Jl. Mayjen Haryono 171 Kampus Sumbersari Malang 65145
Telp. (0341) 569117,567192-Fax. (0341) 564755
Email: dpmfk@ub.ac.id

INPUT
PROPOSAL

PROSES

Pengumpulan
Terlambat Nilai
On Time
2.5

1.6

Nilai Yang
diperoleh

UTUL
Program
Kerja
Lembaga

Nilai

Absensi Kehadiran
Panitia

0.7

Pertama

10.7

Absensi Kehadiran
Peserta

0.8

Kedua

4.5

Berita Acara Proker

Evaluasi Kapel
Evaluasi SC
Angket Proker
SIDAK DPM

1
2.7
1.4
0.4
5

Nilai Akhir

7.6

OUTPUT
SIDPRO

NILAI
0.5

Post Conference

4.3

Total

0.5

Nilai Akhir

16.3

Religius, Moralis, Intelek, Profesional

WA

AWIJAYA
ng 65145
755

Religius, Moralis, Intelek, Profesional

KOLEGIUM MAHASISWA
DEWAN PERWAKILAN MAHASISWA
FAKULTAS KEDOKTERAN UNIVERSITAS BRAWIJAYA
Jl. Mayjen Haryono 171 Kampus Sumbersari Malang 65145
Telp. (0341) 569117,567192-Fax. (0341) 564755
Email: dpmfk@ub.ac.id

Absensi
Kehadiran
Panitia

Absensi
Kehadiran
Peserta

AMSA Exhibition
STRAIN (Seminar and Training for
International-National competition)
AMSA Maternal
IMPACTS
AMSA Charity

0.2

0.3

0.5

0.5

0.5

0.5

0.5

0.5

0.2
0.2
0.5

0.2
2
0.5

1
1
0.5

5
3
0.5

1
1
0.5

0.3
0.3
0.3

0
0
5

Musyawarah Besar AMSA Brawujaya

0.2

0.3

Diklat AMSA Brawijaya 2013

Ahoy AMSA Electum Turba Fidelis

1
2

1
1

1
1

3
3

3
1

0.3
0.3

0
0

PROSHOP (Sponsorship Proposal Workshop)

0.3

Motivation Letter-Essay Training and International

Medical Education Fairs

Second Annual Meeting AMSA Brawijaya

0.5

0.5

0.5

0.5

0.5

0.5

Debater Recall
Rata-rata Nilai*

0.2
0.7

0.2
0.8

1
1.0

1
2.7

1
1.4

0
0.4

0
5.0

PROKER DIPA

Berita Acara
Evaluasi Kapel Evaluasi SC
Proker

Religius, Moralis, Intelek, Profesional

Angket Proker SIDAK DPM

YA

SIDPRO

PROPOSAL

2.5

2.5

1
1
1

2.5
1
2.5

1
1

2.5
1

1
12.0

1
1.6

Religius, Moralis, Intelek, Profesional

KOLEGIU
DEWAN PERWAKILAN MAHA

FAKULTAS KEDOKTERAN UNIVERSITAS BRAWIJ

Jl. Mayjen Haryono 171 Kampus Sumbersari Malan
Telp. (0341) 569117,567192-Fax. (0341
Email

PROKER INSIDENTAL
34th AMSC Malaysia 2013
Pendelegasian AMSEP Japan 2013
Pendelegasian Kompetisi SIMIC Thailand 2013
Pendelegasian RESIDENT 2013

Lomba*
0

5
6
5
5

Pendelegasian Musyawarah Nasional AMSA Indonesia 2013

Pendelegasian AMSEP Thailand 2013
Pendelegasian AMSEP Malaysia 2013
Pendelegasian AMSA Indonesia National Action Event 2013
Pendelegasian AMSEP Philippines 2013
nilai rata-rata
nilai

Religius, Moralis, Intelek, Profesional

Kongres*

3
5
5
5
4
4.3

4.6

KOLEGIU
RWAKILAN MAHA

IVERSITAS BRAWIJ
mpus Sumbersari Malan
117,567192-Fax. (0341
Email

Religius, Moralis, Intelek, Profesional