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Impact Assessment

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LEARNER REFLECTIVE ACTIVITY

Items with “*” are mandatory.

Name*
First Last
Email*
City
Province or outside of Canada
How would you characterise your medical practice?
- Urban
- Rural
- No practice or N/A
College:*
- CFPC
- RCPSC
- CNA
- Other/N/A
CFPC ID
Your credits will be uploaded to CFPC once per quarter.
RCPSC ID
Self-report 0.25 Section 2 – Self-Learning Activities: Bulk Online Reading/Scanning credits. You will receive a confirmation email with your responses.
Please note: Canadian Nursing Association credits could be claimed via independent study continuous learning. For more info see CNA Continuous Learning webpage or contact certification@cna-aiic.ca. Please note that you will receive a confirmation email once you complete this learning activity.
Please specify where you will be claiming your credits.
Please specify where you will be claiming your credits. You will receive a confirmation email with your responses once you complete this learning activity.
What is the impact of this article? Check all that apply.*
- My practice is (will be) changed and improved
- I learned something new
- I am motivated to learn more
- This information confirmed I did (am doing) the right thing
- I am reassured
- I am reminded of something I already knew
- I am dissatisfied
- There is a problem with this information
- I think this information is potentially harmful
- I disagree with the content of this information
Please describe the issue
Please describe the issue(s)
Is this information relevant for at least one of your patients?*
- Totally relevant
- Partially relevant
- Not relevant
Will you use this with a specific patient?*
Will you use this information for a specific patient?
- Yes
- No
- Possibly
If yes, how will you apply the information? Check all that apply.*
If yes, how will you apply the information? Check all that apply.
- Manage the patient differently
- Justify a choice of treatment compared to other options
- Increase certainty about the management of the patient
- Better understand a particular issue related to the patient
- Use the information in a discussion with the patient or with other health professionals
- Use this information to persuade the patient or other health professionals to make a change
- Other ways
For this patient, do you expect any health benefits as a result of applying this information?*
- Yes
- No
- Possibly
If yes, what health benefits*
If yes, what health benefits? Check all that apply.
- Improve the patient’s health status, functioning or resilience (i.e., ability to adapt to significant life stressors)
- Prevent a disease or worsening of disease for the patient
- Avoid unnecessary or inappropriate treatment, diagnostic procedures, preventative interventions or a referral for this patient
- Other benefits
How do you intend to use this information? Check all that apply.
- Practice change
- Teaching
- Patient education
- Reference/resource
- Other use
- N/A
If other, please describe:
If other, please describe:
Did you perceive any degree of bias in any part of the program?
- Yes
- No
If yes, please describe:
If yes, please describe:
Indicate your practice change or confirmation of practice
Describe changes you plan to make based on the article OR describe how your current approach is confirmed.
First change/confirmation of your practice:*
2–4 sentences
Second change/confirmation of your practice:*
2–4 sentences
Comments, arguments, or references that led to the above change/confirmation:
Open comment on the article or feedback for TCMP
Privacy Notification: Your personal information is collected under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act (FIPPA). This information will be used for program activity and evaluation. Questions about the collection of this information may be directed to tcmp.cpd@ubc.ca. Please be aware that by completing this activity, it is assumed that your consent has been given for your responses to be collected as research data, serving the purpose of evaluating the educational impact of this website. All data will be kept strictly confidential. Your name or any other identifying information will not appear in any reports.

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