HomeSupports for Family DoctorsMental Health and Addictions SupportsPeer Connect MentorshipElevating Excellence: Mentorship Development in Family Medicine Evaluation Survey

Elevating Excellence: Mentorship Development in Family Medicine Evaluation Survey

"*" indicates required fields

Please complete the following questions. Comments and quotes may be shared for promotional purposes. All comments and quotes shared will be anonymous.

Your comments are greatly appreciated. Thank you!

Attestation: By responding to the following question, I confirm that I have completed the Elevating Excellence: Mentorship Development in Family Medicine self-learning activity (reviewed recordings).

Name*

Prefix First Last

Email*

CFPC Number*

Please list the session titles that you are requesting credits for:

If you have questions(s) after watching the recording(s) please ask them below. You are not required to ask a question to earn credits. If you have no questions, please leave this text box blank.

If you have questions, please indicate which session(s) you have questions about.

My Questions:

Please provide your responses to the following questions.

My overall experience was positive.*

The content was relevant and applicable to my practice/work. As a result, I am motivated to take action.*

On reflection, please share a way that the session(s) have helped you address some of the daily challenges of practice/work:

Please share any comments on how these sessions could be improved to better help you:

Did you perceive any degree of bias in any part of the program?*

If you perceived bias in any part of the program, please explain below:

Please identify your practice model and practice region using the options below.

My Practice Model*

Other Practice Model

My Practice Region **

Thank you for completing this session(s) of the Elevating Excellence: Mentorship Development in Family Medicine Self Learning Program.

Certificates of Attendance for the self-learning sessions are issued by email once per month, at the beginning of the month following when the self-learning activity is completed. If you provided your CFPC number above, your Mainpro+ credits will be directly entered. These will show up in your account holding area within 4-6 weeks after you receive your certificate.

If you have any questions, please email practisingwell@ocfp.on.ca.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Go back to the Elevating Excellence program page