eSIM Provincial Participant Evaluation

  • eSIM Provincial Participant Evaluation

    Your feedback is confidential and used for system & organizational improvement, not individual performance management.

  • Demographic Questions

  • What corridor are you located for this simulation?*
  • North Zone
  • Edmonton Zone
  • Central Zone
  • Calgary Zone
  • South Zone
  • Did you attend this session:*
  • What primary simulation activity did this session fit into?*
  • What primary simulation activity did this session fit into?*
  • Have you participated in at least one simulation session over the last 12 months, prior to this session?*
  • If yes, how many sessions have you participated in over the last 12 months?*

  • Quality of the Facilitation

  • Rows
  • Rows
  • Did your simulation have another primary facilitator?*
  • Rows
  • Rows
  • Rows

  • Learning Objectives

  • Rows
  • Rows
  • Rows
  • During today’s simulation, I observed one or more system issues or safety risks that could affect patient or staff safety.*
  • Which category best describes the issue(s) you observed? (Select all that apply)*

  • System Integration Simulation

    Please check the box that best reflects your rating
  • Rows

  • Staff Recruitment/Retention

    Please check the box that best reflects your rating
  • Rows

  • Application of Virtual Simulation

    Please check the box that best reflects your rating
  • Rows

  • VEMS In-Person

    Please check the box that best reflects your rating
  • Rows

  • Question ONLY for Physicians

  • The content presented in the simulation session was evidence informed (i.e. scientifically balanced).*
  • Please indicate which CanMEDS roles you felt were addressed during this educational activity (select all that apply):*
  • Did you perceive any degree of commercial or inappropriate bias in any part of the simulation program?*
  • Is this a simulation activity, in which CPD Credits may be claimed? (If unsure, please check with your facilitator)*
  • Do you require a certificate for your participation in the simulation today?*
  • Should be Empty: