Block 1 Feedback Survey · Urgent Care Upskilling Program

Participant details

Participant ID / Name (optional) Date Primary practice setting Years in practice

Section 1 — Overall Block 1 Experience

Please rate your level of agreement with each statement:

Section 2 — Day 1 Didactic Lectures

Please rate each lecture you attended. If you did not attend a session, leave that row blank.

Please circle one number in each column. 1 = Poor · 2 = Fair · 3 = Good · 4 = Very Good · 5 = Excellent

Content = relevance and depth of material · Delivery = clarity, pace and teaching quality · Faculty = knowledge, approachability and responsiveness · Usefulness = applicability to your daily practice

Which lecture did you find most valuable, and why? Was any lecture unclear, too rushed, or pitched at the wrong level? Please specify which and what would improve it.

Section 3 — Day 1 Hands-On Skill Stations

Please rate each of the five rotation stations you attended.

Please circle one number in each column. 1 = Poor · 2 = Fair · 3 = Good · 4 = Very Good · 5 = Excellent

Content = relevance and depth of material · Delivery = clarity, pace and teaching quality · Faculty = knowledge, approachability and responsiveness · Usefulness = applicability to your daily practice

Skill station logistics

Which station would you most like more time on?

Please comment on any station where equipment, time or instruction fell short.

Section 4 — Day 2: Wound Management & Suturing

Please circle one number in each column. 1 = Poor · 2 = Fair · 3 = Good · 4 = Very Good · 5 = Excellent

Content = relevance and depth of material · Delivery = clarity, pace and teaching quality · Faculty = knowledge, approachability and responsiveness · Usefulness = applicability to your daily practice

Day 2 specific

Was the suturing workshop duration:

Any additional comments on the Day 2 wound care and suturing sessions?

Section 5 — Faculty

Across Block 1 as a whole, the faculty:

Please name any faculty member whose teaching you found particularly effective, and describe what made it work.

Section 6 — Venue, Facilities & Organisation

Please rate the following:

Please describe any problems with the venue, facilities or organisation, and how they affected your learning.

Section 7 — Assessment

Pre-course MCQ

Section 8 — Looking Ahead to Block 2

Which topics would you most like emphasized in Block 2? (Tick all that apply)

Is there anything from Block 1 you would like revisited or reinforced during Block 2? Are there any topics or skills NOT currently covered that you would like added to the program?

Section 9 — Open Feedback

What worked best about Block 1? What should we keep exactly as it is? What was least effective, and what specific change would you make? Any other comments you would like to share.

Section 10 — Testimonial

We would be grateful for a short testimonial about your experience. With your permission, this may be used in program reports, accreditation submissions and promotional material for future cohorts.

In a few sentences, how would you describe this course to a colleague considering it?

May we quote your testimonial?

Signature (required only if you selected "Yes — with my full name and job title" above)