MAiD2023 Day 1 Evaluation

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
Mona Gupta (Keynote)
Gord Gubitz (National MAiD Curriculum Update)
Kim Wiebe (CBS Update on Organ Donation)
Jacquie Lemaire (Health Canada Update)
Jessica Shaw (MAiD Grounded in Social Determinants of Health)
Ashley Miller (Navigating Family Conflict)
Christy Simpson (Navigating Family Conflict)
Tanja Daws (Clinical Issues: Final Consent Waivers)
Konia Trouton (Clinical Issues: Final Consent Waivers)
Ben Schiff (Clinical Issues: Final Consent Waivers)
Jocelyn Downie (Advocacy Issues)
Tim Holland (Advocacy Issues)
Gord Gubitz (Delivery Systems)

5. This program enhanced my knowledge.(Required)

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Mona Gupta (Keynote)
Gord Gubitz (National MAiD Curriculum Update)
Kim Wiebe (CBS Update on Organ Donation)
Jacquie Lemaire (Health Canada Update)
Jessica Shaw (MAiD Grounded in Social Determinants of Health)
Ashley Miller and Christy Simpson (Navigating Family Conflict)
Tanja Daws, Konia Trouton and Ben Schiff (Clinical Issues: Final Consent Waivers)
Jocelyn Downie and Tim Holland (Advocacy Issues)
Gord Gubitz (Delivery Systems)

6. The learning objectives were met.(Required)

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Mona Gupta (Keynote Speaker)
Gord Gubitz (National MAiD Curriculum Project)
Jacquie Lemaire (Health Canada Update)
Jessica Shaw (MAiD Grounded in Social Determinants of Health)
Ashley Miller and Christy Simpson (Navigating Family Conflict)
Tanja Daws, Konia Trouton and Ben Schiff (Clinical Issues: Final Consent Waivers)
Jocelyn Downie and Tim Holland (Advocacy Issues)
Gord Gubitz (Delivery Systems)

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

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Mona Gupta (Keynote Speaker)
Gord Gubitz (National MAiD Curriculum Project)
Jacquie Lemaire (Health Canada Update)
Jessica Shaw (MAiD Grounded in Social Determinants of Health)
Ashley Miller and Christy Simpson (Navigating Family Conflict)
Tanja Daws, Konia Trouton and Ben Schiff (Clinical Issues: Final Consent Waivers)
Jocelyn Downie and Tim Holland (Advocacy Issues)
Gord Gubitz (Delivery Systems)

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

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

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

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

Please complete the following section if you are ONLY attending Day 1 of this conference.

Please rate the venue (The Westin Nova Scotian).

Poor	Average	Good	Excellent

Please rate the timing of this conference (month) relative to the rest of the year.

Poor	Average	Good	Excellent

Please rate the location of this conference (Halifax).

Poor	Average	Good	Excellent

Please rate the food and beverage selection.

Poor	Average	Good	Excellent

Please rate your experience with communications from CAMAP relating to the conference.

Poor	Average	Good	Excellent

Please rate your experience with the registration process.

Poor	Average	Good	Excellent

Please rate the quality of the pre-conference sessions.

Please rate the format of the conference (pre-conference and main conference).

Poor	Average	Good	Excellent

Would you recommend this national conference?(Required)

Yes

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

MAiD2023 Evaluation: Day 1, May 5, 2023

Please complete the following section if you are ONLY attending Day 1 of this conference.

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