DOCS 2021 Virtual Workshop Series Sign-Up Survey

Submission Questions

Question Title

* 1. What is your name?

Question Title

* 2. What is your email address?

Question Title

* 3. What is your title and what institution are you from?

Question Title

* 4. Workshop #1 (August 13th 12pm-1pm EST) Clinical Skills Teaching Tools/Best Practices/Faculty Development for Teaching Techniques (Hx/Physical Exam/Clinical Reasoning)

Yes- I am interested in participating in this workshop with other DOCS colleagues

No- I am not interested in participating in this workshop with other DOCS colleagues

Question Title

* 5. If you indicated above a YES for the August Workshop, please write a brief summary of your specific interest in this workshop. Also, is there a particular focus, based on the title options, that you are specifically interested in? Do you have any goals/objectives in mind that you would like to share?

Question Title

* 6. Do you have a DOCS colleague from another institution that you would like to specifically collaborate with/or be paired with for Workshop #1? If so, please type their name here:

Question Title

* 7. Workshop #2 (September 10th 12pm-1pm EST) Longitudinal Approach to Clinical Skills Assessments: (Content/Delivery/Faculty Rater Training/EPAS/Graduation Requirements/Institutional CS Replacement, etc.)

Yes- I am interested in participating in this workshop with other DOCS colleagues

No- I am not interested in participating in this workshop with other DOCS colleagues

Question Title

* 8. If you indicated above a YES for the September Workshop, please write a brief summary of your specific interest in this workshop. Also, is there a particular focus, based on the title options, that you are specifically interested in? Do you have any goals/objectives in mind that you would like to share?

Question Title

* 9. Do you have a DOCS colleague from another institution that you would like to specifically collaborate with/or be paired with for Workshop #2? If so, please type their name here:

Question Title

* 10. Workshop #3 (October 8th 12pm-1pm EST) Remediation/Difficult Learner/Competency(High-Stakes) Exams/ Diagnosing the Learner/Feeding Forward/ Clinical Coaching

Yes- I am interested in participating in this workshop with other DOCS colleagues

No- I am not interested in participating in this workshop with other DOCS colleagues

Question Title

* 11. If you indicated above a YES for the October Workshop, please write a brief summary of your specific interest in this workshop. Also, is there a particular focus, based on the title options, that you are specifically interested in? Do you have any goals/objectives in mind that you would like to share?

Question Title

* 12. Do you have a DOCS colleague from another institution that you would like to specifically collaborate with/or be paired with for Workshop #3? If so, please type their name here:

Question Title

* 13. Workshop #4 (December 10th, 12pm-1pm EST) Incorporation of Health Systems Science Into Courses/Pre-Clinical Curriculum

Yes- I am interested in participating in this workshop with other DOCS colleagues

No- I am not interested in participating in this workshop with other DOCS colleagues

Question Title

* 14. If you indicated above a YES for the December Workshop, please write a brief summary of your specific interest in this workshop. Also, is there a particular focus, based on the title options, that you are specifically interested in? Do you have any goals/objectives in mind that you would like to share?

Question Title

* 15. Do you have a DOCS colleague from another institution that you would like to specifically collaborate with/or be paired with for Workshop #4? If so, please type their name here: