Manitoulin Needs Assessment

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

Additional comments or suggestions

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Manitoulin Needs Assessment

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