Date: Time:
Speaker(s):

  

Title:

  

Objective(s):


  

Evaluation:

Speaker: Poor 1 2 3 4 5 Excellent
Topic: Poor 1 2 3 4 5 Excellent

Comments:


Did discussion occupy at least 25% of grand rounds? yes no

Was this grand rounds relevant to your practice? yes no

Was this grand rounds free from commercial bias? yes no

What did you learn or confirm?

What additional learning are you planning to complete?

What changes are you planning to implement in your practice?

Identify the CanMEDS Roles relevant to this learning activity (check all that apply):

Your name:
Royal College ID #: