MAiD2023 Research Forum Evaluation Form

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 after the conference.

Name (Required if you would like a CPD certificate; Optional otherwise)

First Last

Email address (Required if you would like a certificate; Optional otherwise)

1. Please tell us about your professional role in MAiD services.(Required)

2. What is your designation?(Required)

3. Did the speaker(s) throughout the day disclose their respective Conflicts of Interests?(Required)

Yes

4. Please rate each session.(Required)

	Poor	Good	Strong	Not Applicable / Don't Remember	Did Not Attend This Session
Ellen Crumley
Andrea Frolic
Melissa Henry
Barb Pesut
Catherine Perron
Michaela Kelly (Ketamine)
Amanda Cramm
Caitlin Lees
Tracy Powell
Ellen Wiebe
Caroline Variath
Karine Legere
Michaela Kelly (Incurable & irremediable)
Linda Watson
Anneliese Mills

5. This program enhanced my knowledge.(Required)

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	Not Applicable / Don't Remember	Did Not Attend This Session
Ellen Crumley
Andrea Frolic
Melissa Henry
Barb Pesut
Catherine Perron
Michaela Kelly (Ketamine)
Amanda Cramm
Caitlin Lees
Tracy Powell
Ellen Wiebe
Caroline Variath
Karine Legere
Michaela Kelly (Incurable & irremediable)
Linda Watson
Anneliese Mills

6. The learning objectives were met.(Required)

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	Not Applicable / Don't Remember	Did Not Attend This Session
Ellen Crumley
Andrea Frolic
Melissa Henry
Barb Pesut
Catherine Perron
Michaela Kelly (Ketamine)
Amanda Cramm
Caitlin Lees
Tracy Powell
Ellen Wiebe
Caroline Variath
Karine Legere
Michaela Kelly (Incurable & irremediable)
Linda Watson
Anneliese Mills

7. What learning will you integrate into your practice?(Required)

8. What part of this program did you find the most effective?(Required)

9. What part of this program was the least effective for you?(Required)

10. Did you feel there was adequate time for discussion?(Required)

Yes

11. Did you perceive any degree of bias in this program?(Required)

Yes

12. If you answered "yes" to question 11, please describe the bias you perceived.

13. 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, select that option below).(Required)

14. Comments

What additional topics would you want to see at future CAMAP national conferences?

MAiD2023 Evaluation: Research Forum, May 4, 2023

Thank you for completing this evaluation form! Your CPD certificate will be issued after the conference.