Child Aware practice evaluation form for GPs

The following instructions are for General Practitioners wishing to use this training resource to accrue Continuing Professional Development (CPD) points.

Completion of this activity will attract 30 Category 2 points with the RACGP QI&CPD program in the 2014-2016 triennium. To claim CPD points from the RACGP (or ACRRM) please complete each of the below.

We greatly appreciate your honest feedback and your time.

The COPMI national initiative

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* 1. What is your full name?

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* 2. What is your QA & CPD number (required for RACGP accreditation)

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* 3. What is your ACCRM number? (If you are claiming Professional Development Points through the AustralianCollege of Rural and Remote Medicine - ACRRM).

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* 4. What is the name of your primary place of work? (In case we need to contact you)

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* 5. What is your email address? (So that we can contact you to confirm your CPD point allocation)

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* 6. Please read this article published in the MJA Open, then confirm via the button below.

Baulderstone, M, Morgan, B. & Fudge, E (2012), 'Supporting families of parents with mental illness in general practice', MJA Open 2012; 1 Suppl 1: 11-13, accessed 5/7/12.

Yes - I have read this article

No - I have not read this article

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* 7. Please read advice to General Practitioners working with parents, their partners and carers, including the page on working with children and young people (where they have a parent with a mental illness). Then confirm via the button below.

Yes - I have read these pages

No - I have not read these pages

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* 8. Please rate to what degree the learning objectives of the program were met. Did this resource assist you to:

	Not met	Partially met	Entirely met
Raise learners' awareness about how adult issues can potentially impact on children	Raise learners' awareness about how adult issues can potentially impact on children Not met	Raise learners' awareness about how adult issues can potentially impact on children Partially met	Raise learners' awareness about how adult issues can potentially impact on children Entirely met
Reflect on, and work towards, ways of talking with adults about these potential impacts	Reflect on, and work towards, ways of talking with adults about these potential impacts Not met	Reflect on, and work towards, ways of talking with adults about these potential impacts Partially met	Reflect on, and work towards, ways of talking with adults about these potential impacts Entirely met
Extend learner's thinking as a practitioner so that both child and parent needs are considered as part of an intervention with adult clients who are parents	Extend learner's thinking as a practitioner so that both child and parent needs are considered as part of an intervention with adult clients who are parents Not met	Extend learner's thinking as a practitioner so that both child and parent needs are considered as part of an intervention with adult clients who are parents Partially met	Extend learner's thinking as a practitioner so that both child and parent needs are considered as part of an intervention with adult clients who are parents Entirely met

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* 9. Please rate the below:

	Not met	Partially met	Entirely met
To what degree were your learning needs were met?	To what degree were your learning needs were met? Not met	To what degree were your learning needs were met? Partially met	To what degree were your learning needs were met? Entirely met
To what degree is this activity relevant to your practice?	To what degree is this activity relevant to your practice? Not met	To what degree is this activity relevant to your practice? Partially met	To what degree is this activity relevant to your practice? Entirely met

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* 1. What is your full name?

Question Title

* 2. What is your QA & CPD number (required for RACGP accreditation)

Question Title

* 3. What is your ACCRM number? (If you are claiming Professional Development Points through the AustralianCollege of Rural and Remote Medicine - ACRRM).

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* 4. What is the name of your primary place of work? (In case we need to contact you)

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* 5. What is your email address? (So that we can contact you to confirm your CPD point allocation)

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* 6. Please read this article published in the MJA Open, then confirm via the button below. Baulderstone, M, Morgan, B. & Fudge, E (2012), 'Supporting families of parents with mental illness in general practice', MJA Open 2012; 1 Suppl 1: 11-13, accessed 5/7/12.

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* 7. Please read advice to General Practitioners working with parents, their partners and carers, including the page on working with children and young people (where they have a parent with a mental illness). Then confirm via the button below.

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* 8. Please rate to what degree the learning objectives of the program were met. Did this resource assist you to:

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* 9. Please rate the below:

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* 10. Do you have any other comments regarding the course?

* 6. Please read this article published in the MJA Open, then confirm via the button below.

Baulderstone, M, Morgan, B. & Fudge, E (2012), 'Supporting families of parents with mental illness in general practice', MJA Open 2012; 1 Suppl 1: 11-13, accessed 5/7/12.