CBT Certificate Program email/update list 2018

Please take a few minutes to complete this form.

Our programs are designed around gaps between best practices in patient care and the actual care our patients receive. Therefore our course planning process requires us to identify actual practice gaps identified by learners when designing our training events. This expectation is that the training will be designed to change learners' strategies (competence), or what learners actually do in practice (performance), or the impact on the patient or on healthcare (patient outcomes).

Thank you.

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* 1. Briefly describe the client population you work with, your role and practice setting.

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* 2. What practice-based issues do you feel that you are not able to address appropriately or to your satisfaction (at this point in time)? What challenges are you experiencing in your practice?

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* 3. Why do these issues exist? for example, is there a lack of knowledge, or competence, or an issue with performance. (You may select more than one response)

Need for knowledge/new information about this specific topic

A need to improve competence (know when and how to apply new strategies in practice)

Improved performance such as the adoption of new skills and behaviours

Other (please specify)

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* 4. What is the extent of your experience using Cognitive behaviour therapy (CBT) with clients/patients?

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* 5. Please indicate the healthcare practitioner roles you would like improve competence with as a result of this training. (you may select more than one response)

medical/clinical expert: applying medical/clinical knowledge, clinical skills, and professional attitudes in their provision of high-quality and safe patient-centred care.

Communicator: form relationships with patients and their families that facilitate the gathering and sharing of information essential for exemplary health care.

Collaborator: work effectively with other health care providers to provide safe,
high-quality patient care.

Health Advocate: contribute expertise and influence to improve health by working with the patients, communities, or populations they serve to determine and understand needs, develop partnerships, speak on behalf of others when needed, and support the mobilization of resources to effect change.

Leader/Manager: develop in collaboration with other health care leaders, a vision of a high-quality health care
system and take responsibility for effecting change to move the system toward the achievement of that vision

Scholar: demonstrate a lifelong commitment to excellence in practice through continuous learning,
the teaching of others, the evaluation of evidence and other resources, and contributions to scholarship.

Professional: committed to the health and well-being of individual patients and society through
ethical practice, high personal standards of behaviour, commitment to the profession, profession-led regulation,
and maintenance of personal health.

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* 6. Please indicate your name and contact information

email:

Discipline

work/job title

Practice setting