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Spring Symposium: Evaluation for Health Canada event on June 1
Thank you for completing this form, to help CAMAP improve this program and meet the requirements of CFPC and the Royal College. If you would like a CPD certificate for your records, please make sure you include your first and last name. The certificate will be emailed to you once you submit this form. Please note that when this event was accredited it was only scheduled for 60 minutes; the time was then extended by an additional 30 minutes to allow for additional feedback and discussion, but this event remains only accredited for 1 credit.
Name (required if you would like a CPD certificate; optional otherwise)
Email address (also required if you would like a certificate; optional otherwise)
1. Please tell us what your professional role in MAiD services?
None of the above
2. What is your designation?
Not a Clinician
3. Did the speakers disclose their respective Conflicts of Interests?
4. Please rate your perspective of each speaker involved in tonight's event
Content not strong and/or conveyed poorly
Not as effective as could have been
Effective / consider inviting again
Highly effective / please invite again
Not Applicable / Don't remember
Ellen Wiebe (moderator)
5. What changes will be you be making as a result of today’s program?
6. What part of this module did you find the most effective?
7. What part of this module was the least effective for you?
8. Did you feel there was adequate time for discussion?
9. Did you perceive any degree of bias in this program?
10. If you answered "yes" to the question above, please explain the bias you perceived
11. For participants from Quebec, did the activity respect the Code of Ethics of the CQDPCM (http://cqdpcm.ca/tool/code-dethique/)?
Not applicable as I do not live / work in Quebec
12. Please indicate which of the CanMEDS-FM roles you feel were addressed by your participation in this event. Please select all that apply. (This question is required by the CFPC; so if you are not a family physician, just select that option below).
I am not a family physician
Family medicine expert
If you have already completed a previous evaluation form from for one of our Spring Symposium events, there is no need to complete the following section again. If, however, this is new to you we would very much appreciate your input into how future events are shaped.
13. For these Symposium online events, what types of format(s) would you like to see in the future? (Check all that apply)
Individual speakers, no panel interaction
Panel discussions and interaction
Demonstrations / videos
Polls / quizzes
14. If you have any other ideas for future Symposium formats, not listed in the question above, please note it here
15. What additional webinars / training would you want to see at future CAMAP events (on today's event or any other) in relation to the delivery of MAiD?
16. CAMAP is starting to plan its 2022/23 season of education and volunteers are needed to help with this work. We have a handful of spaces to fill and may not be able to involve all who express interest, but we will circle back by the end of June regardless. If you are interested, please make sure your name and email is included at the top of this form.
I'm interested in potentially volunteering and learning more
No thanks, I'm happy to be a participant
17. Anything else you'd like to share?
Thank you for completing this evaluation form!