Attending Physician Debrief Questionnaire - Facilitator

Improving Continuity of Care for Children and Families Affected by Prenatal Alcohol Exposure

Form Approved

OMB No. XXXX-XXXX

Exp. Date: XX/XX/XXXX

AMERICAN ACADEMY OF PEDIATRICS

ATTENDING PHYSICIAN DEBRIEF QUESTIONNAIRE – FACILITATOR GUIDE

QUESTIONS

Topic 1: General reactions to the resident curriculum

• What did you like most about the curriculum?

• What could be improved/how?

• What tools were most helpful/why?
  
  

Topic 2: Implementation

• How did you implement the curriculum? (Open Discussion)

• What worked well? What were some of your successes?

• What challenges did you face?

• What things were missing from implementation?

• What suggestions would help the next group to better implement?

Topic 3: Supplemental material/resources

• Was the supplemental material used?

  • If so, did you like it?

• Would you add or remove any of the supplemental materials? What else would you recommend using?

• Lecture recordings

• How were the recordings received? Were they easy or difficult to use?

• Was the length and quality of the videos appropriate?

• Cases

• Did you use the case studies? If so, how were they incorporated?

Topic 4: Open comment

• Is there anything else you would like to share?
  
  

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