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Name:

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Email address:

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Hospital:

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Speciality:

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Grade:

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Are you male or female?

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Name of course:

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Please enter the date of your course

Date

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The educational programme for the day met the stated aims:

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The course met my own learning needs:

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I found the course interesting:

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I found the course relevant:

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Overall, I am satisfied with the course:

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The course will improve my multidisciplinary team working:

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The course will positively affect my clinical care:

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The course will positively affect my practice with respect to patient safety:

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The course has enhanced my communication skills:

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Quality of the introductory presentation:

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Quality of the manikin demonstration:

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Quality of simulations:

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Debriefing style of the course facilitators:

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Quality of the 'scenarios':

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Relevance of the 'scenarios':

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Please outline 3 things that you have learnt from this day.

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Please give a specific example of something you have learnt during this course that you will take back to your clinical workplace.

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Is there anything you have learnt on this course that has NOT been taught effectively elsewhere?

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What could have been done to improve the programme for this study day?

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