Interprofessional Collaborative Competencies Attainment Survey (ICCAS)

You are invited to respond to this survey because you participated in Department of Obstetrics and Gynecology Grand Rounds and/or Department of Obstetrics and Gynecology M&M Conference. Responding to this survey should not take more than 5 minutes of your time and will help evaluate these educational series.

Which educational series did you participate in the last 12 months three or more times?

Department of Obstetrics and Gynecology Grand Rounds

Department of Obstetrics and Gynecology M&M Conference

None

What is your profession? Other, please specify:

What is your specialty?

Ob/Gyn

Other, please specify:

What is your specialty? Other, please specify:

PLEASE RATE YOUR ABILITY FOR EACH OF THE STATEMENTS BELOW.

Promote effective communication among members of an interprofessional (IP) team

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Actively Listen to IP team members' ideas and concerns

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Express my ideas and concerns without being judgmental

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Provide constructive feedback to IP team members

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Express my ideas and concerns in a clear, concise manner

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Seek out IP team members to address issues

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Work effectively with IP team members to enhance care

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Learn with, from and about IP team members to enhance care

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Identify and describe my abilities and contributions to the IP team

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Be accountable for my contributions to the IP team

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Understand the abilities and contributions of IP team members

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Recognize how others' skills and knowledge complement and overlap with my own

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Use an IP team approach with the patient to assess the health situation

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Use an team IP approach with the patient to provide whole person care

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Include the patient/family in decision making

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Actively listen to the perspectives of IP team members

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Take into account the ideas of IP team members

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Address team conflict in a respectful manner

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Develop an effective care plan with IP team members

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Negotiate responsibilities within overlapping scopes of practice

	Poor	Fair	Good	Very good	Excellent
A year ago	A year ago - Poor	A year ago - Fair	A year ago - Good	A year ago - Very good	A year ago - Excellent
Now	Now - Poor	Now - Fair	Now - Good	Now - Very good	Now - Excellent

Compared to a year ago, would you say your ability to collaborate interprofessionally is...

	Much worse now	Somewhat worse now	About the same	Somewhat better now	Much better now
Compared to a year ago, would you say your ability to collaborate interprofessionally is... (select one)	Compared to a year ago, would you say your ability to collaborate interprofessionally is... (select one) - Much worse now	Compared to a year ago, would you say your ability to collaborate interprofessionally is... (select one) - Somewhat worse now	Compared to a year ago, would you say your ability to collaborate interprofessionally is... (select one) - About the same	Compared to a year ago, would you say your ability to collaborate interprofessionally is... (select one) - Somewhat better now	Compared to a year ago, would you say your ability to collaborate interprofessionally is... (select one) - Much better now

Comments:

You are here

Interprofessional Collaborative Competencies Attainment Survey (ICCAS)

PLEASE RATE YOUR ABILITY FOR EACH OF THE STATEMENTS BELOW.