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Surgical and Interventional Sciences
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Feedback Form
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Instructors: Jake Barralet and Fackson Mwale
Please rate eCIM by marking the box that most accurately reflects your opinion.
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1. Did you feel that eCIM helped you to prepare the application?
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Definitely
Mostly
Somewhat
Not really
Not at all
If it did not help, you please explain in box below:
Max 500 characters
2. Did eCIM help you find support through the process?
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Definitely
Mostly
Somewhat
Not really
Not at all
3. Was sharing the training as a group with your colleagues beneficial?
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Definitely
Mostly
Somewhat
Not really
Not at all
4.Did eCIM help you to increase your confidence in applying?
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Definitely
Mostly
Somewhat
Not really
Not at all
5. If you are preparing a resubmission, do you feel the sessions helped you respond to reviewers?
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Definitely
Mostly
Somewhat
Not really
Not at all
6. Overall, I found my time well spent.
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Definitely
Mostly
Somewhat
Not really
Not at all
7. Would you recommend eCIM to a friend or colleague?
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Definitely
Mostly
Somewhat
Not really
Not at all
8. Give your feedback on the following sessions:
Session 1 (Jan 30th) - FM overview of program, JB strategy to improve CV
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Excellent
Very Good
Good
Fair
Poor
Session 2 (March 13th) - FM writing skills, JB problem definition
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Excellent
Very Good
Good
Fair
Poor
Session 3 (May 15th) - Dr. Morin perspectives of committee chair, One on one with subject expert
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Excellent
Very Good
Good
Fair
Poor
Check-in sessions -15 min one on one
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Excellent
Very Good
Good
Fair
Poor
9. If you have suggestions for improvements, please elaborate? Please be as specific as possible.
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Max 500 characters
10. Did you find any training yourself elsewhere that you feel would benefit others? Please be as specific as possible.
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Max 500 characters
11. What could eCIM do better for you? Please be as specific as possible.
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Max 500 characters
If I am successful, I will allow the eCIM to distribute my application in future training
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Yes
No
If I am successful, I’m willing to help eCIM in next years.
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Yes
No
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