Manitoulin Needs Assessment

Medical simulation designed for rural and community health care providers

Name *

First

Last

Email *

What do you find most challenging about simulation debriefing?? *

Describe and instance where you felt challenged as a simulation debriefer *

What would you most like to get out of your debriefer training? *

Which of the following best describes your feelings about your skills as a debriefer? *

	Very Weak	Weak	Neutral	Strong	Very Strong
Ability to design and modify simulation scenarios to meet your desired learning objectives	Very WeakAbility to design and modify simulation scenarios to meet your desired learning objectives Very Weak	WeakAbility to design and modify simulation scenarios to meet your desired learning objectives Weak	NeutralAbility to design and modify simulation scenarios to meet your desired learning objectives Neutral	StrongAbility to design and modify simulation scenarios to meet your desired learning objectives Strong	Very StrongAbility to design and modify simulation scenarios to meet your desired learning objectives Very Strong
Ability to recognize important learning opportunities in a simulation	Very WeakAbility to recognize important learning opportunities in a simulation Very Weak	WeakAbility to recognize important learning opportunities in a simulation Weak	NeutralAbility to recognize important learning opportunities in a simulation Neutral	StrongAbility to recognize important learning opportunities in a simulation Strong	Very StrongAbility to recognize important learning opportunities in a simulation Very Strong
Ability to understand participant's thought process or "frame"	Very WeakAbility to understand participant's thought process or "frame" Very Weak	WeakAbility to understand participant's thought process or "frame" Weak	NeutralAbility to understand participant's thought process or "frame" Neutral	StrongAbility to understand participant's thought process or "frame" Strong	Very StrongAbility to understand participant's thought process or "frame" Very Strong
Comfort with the language and taxonomy of Crisis Resource Management	Very WeakComfort with the language and taxonomy of Crisis Resource Management Very Weak	WeakComfort with the language and taxonomy of Crisis Resource Management Weak	NeutralComfort with the language and taxonomy of Crisis Resource Management Neutral	StrongComfort with the language and taxonomy of Crisis Resource Management Strong	Very StrongComfort with the language and taxonomy of Crisis Resource Management Very Strong
Ability to facilitate a safe and supportive learning environment	Very WeakAbility to facilitate a safe and supportive learning environment Very Weak	WeakAbility to facilitate a safe and supportive learning environment Weak	NeutralAbility to facilitate a safe and supportive learning environment Neutral	StrongAbility to facilitate a safe and supportive learning environment Strong	Very StrongAbility to facilitate a safe and supportive learning environment Very Strong
Ability to help participants understand opportunities for improvement	Very WeakAbility to help participants understand opportunities for improvement Very Weak	WeakAbility to help participants understand opportunities for improvement Weak	NeutralAbility to help participants understand opportunities for improvement Neutral	StrongAbility to help participants understand opportunities for improvement Strong	Very StrongAbility to help participants understand opportunities for improvement Very Strong

Additional comments or suggestions

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Manitoulin Needs Assessment

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