TRAINING PROGRAM EVALUATION

Name: _______________________________

Training Program: ______________________

Program Year: _________________________

Date: ________________________________

1. Please evaluate these aspects of your training experience by checking the appropriate response: (and any additional evaluation required by your residency or training program)

	Poor	Satisfactory	Good	Excellent	Outstanding	Did not experience
Didactic teaching						N/A
Syllabus						N/A
Clinic orientation						N/A
Abortion counseling experience						N/A
Medical screening/management						N/A
Pelvic examination / sizing						N/A
Pain management techniques						N/A
Vacuum aspiration technique						N/A
Use of ultrasound						N/A
Routine post-abortion care						N/A
Opportunities to ask questions						N/A
Opportunities to interact with clinic staff						N/A
Medication abortion training						N/A
Abnormal pregnancy assessment						N/A
Application of trauma-informed and to patient care						N/A

2. What did you find most valuable about the training?

 

3. What did you find least valuable about the training?

 

4. Did the abortion training rotation adequately prepare you to:

	Yes	No, need more
Counsel patients about pregnancy options
Counsel patients choosing abortion
Counsel patients about contraceptive options
Perform informed consent for abortion
Perform accurate pelvic sizing
Perform aspiration procedures under local anesthesia
Perform aspiration abortions <14 weeks with confidence
Manage common abortion complications
Integrate abortion with other health services in your regular practice
Provide medication abortion
Diagnose miscarriage and discuss treatment options

5. What are your long-term career plans?

 

6. Where do you hope to practice after completing your training?

☐ In this state/region/province/territory

☐ In another part of the country (specify: )

☐ Outside the country (specify: )

☐ Don’t know yet

 

 

10. Since completing the abortion training rotation, has your interest in or commitment to providing abortion services:

☐ Increased

☐ Decreased

☐ Remained the same

 

11. Has the abortion training rotation influenced your attitudes or opinions about abortion in any positive or negative way? Please explain:

 

 

12. What suggestions do you have for improving the training program?

 

 

13. What additional preparation do you anticipate needing to provide reproductive care in your desired setting?

 

 

14. Was the teaching style or environment conducive to your learning? If not, how could it have been improved?

 

 

15. What barriers do you anticipate facing in your pursuit of abortion provision in the future?