Participant Evaluation Form

First Name: *

Last Name: *

RACGP/ACRRM Number:

Were the following learning outcomes met?

Provide an overview of local healthcare options for Palliative and End of Life Care *

Not metPartially metEntirely met

Discuss referral pathways *

Not metPartially metEntirely met

Outline local challenges *

Not metPartially metEntirely met

Describe the relationship between advance care planning and VAD *

Not metPartially metEntirely met

Discuss the role of voluntary assisted dying (VAD) in quality end-of-life care *

Not metPartially metEntirely met

Explain the process for GPs to become Authorised Practitioners *

Not metPartially metEntirely met

List the eligibility criteria for VAD *

Not metPartially metEntirely met

Identify the current local healthcare options for palliative and end-of-life care. *

Not metPartially metEntirely met

Identify the steps involved in providing person-centred, high quality, evidence-based palliative and end-of-life care. *

Not metPartially metEntirely met

Discuss planning transition of care from restorative to palliative to terminal care. *

Not metPartially metEntirely met

Understand important aspects of the Voluntary Assisted Dying Act 2021 including healthcare workers’ rights, roles and responsibilities and eligibility criteria. *

Not metPartially metEntirely met

Identify the phases of the voluntary assisted dying process and support services. *

Not metPartially metEntirely met

Outline the process to become an authorised voluntary assisted dying practitioner. *

Not metPartially metEntirely met

Identify support options for healthcare practitioners. *

Not metPartially metEntirely met

Define 'excellent' palliative care in Emerald and the benefits of commencing palliative care early. *

Not metPartially metEntirely met

Discuss options for supporting carers *

Not metPartially metEntirely met

Define 'excellent' palliative care and the benefits of commencing palliative care early. *

Not metPartially metEntirely met

Please rate to what degree this CPD activity met your expectation on content – was the content current, contemporary, evidence-based, and relevant? *

Not metPartially metEntirely met

Please rate to what degree this CPD activity met your expectation on delivery – was the delivery engaging, interactive with opportunity for questions and feedback? *

Not metPartially metEntirely met

Please rate to what degree this CPD activity met your expectation on presenters/facilitators – were the facilitators and presenters engaging, qualified/skilled and knowledgeable? *

Not metPartially metEntirely met

Would you likely change anything in your practice as a result of this CPD activity? Yes/No Why?

Would you likely recommend these Clinical Society events to a colleague? Yes/No Why?

Do you have any comments or feedback on how this session could be improved?

Would you be interested in presenting on a topic at a future Clinical Society event?

YesNo

What topic would you like to present on? *

Please provide your name, email and phone number:

Thank you.

Your feedback will assist us with the continuous quality improvement of these clinical education events.