Skip to content
Home
About
History
In The Media
Governance
Donate
Contact Us
Join
Donate
For Clinicians
CAMAP PUBLICATIONS & GUIDELINES
EDUCATION
CLINICIAN RESOURCES
RESEARCH – Accepting Grant Applications
Members Only Resources
Forum
Archived webinars
Knowledge Base
Mentorship Program
For The Public
ELIGIBILITY
PUBLIC RESOURCES
MAiD Resources in Your Province / Territory
Countries Where Assisted Dying is Legal
FAQ
Member login
Search
CAMAP MAiD Training Two Month Reflection Evaluation - DWDC event on Nov 3, 2022
This evaluation form is the final step required in earning your CFPC CME credits for this MAiD workshop. Once completed, your CME certificate will be mailed out.
Name
(Required)
First
Last
Email
(Required)
Since the workshop, have you done any MAiD assessments?
(Required)
Yes
No
If yes, how did it / they go? (ie. did you feel confident in the process and your decision making? What additional learning, if anything, would have helped?)
Since the workshop, have you completed any MAiD provisions?
(Required)
Yes
No
If yes, how did it / they go? (ie. did you feel confident in the process and your decision making? What additional learning, if anything, would have helped?)
In the future, do you plan to provide MAiD either by assessing and/or provision (regardless as to whether you have done any yet or not)?
(Required)
Yes
No
Unsure
For the following series of questions, have you experienced any barriers in:
Lack of support from nurse practitioner / physician colleagues?
(Required)
Yes
No
N/A
Lack of support from nurses?
(Required)
Yes
No
N/A
Lack of support from institutions (hospitals, care homes, etc.)
(Required)
Yes
No
N/A
Lack of support from pharmacists?
(Required)
Yes
No
N/A
Time constraints?
(Required)
Yes
No
N/A
Lack of adequate compensation?
(Required)
Yes
No
N/A
Any other barriers not listed above? (Please list them here).
Now that there has been a period of reflection, what has been the most clinically useful idea you learned in this workshop (if any)?
Again, upon reflection, what was the least effective part of the program?
Likewise, what was the most effective part of the program?
Given that time has passed, how could this program be improved? (Consider any of the following or add your own thoughts: What was missing? What should have been included? How could the time have been used better?)
Thank you for completing this evaluation form.
