Provider Skills & Procedures Workshop - 8 week evaluation (Skills Day)

1 Start 2 Complete

APP Provider Self-Efficacy

Indicate your confidence to perform the below skills/procedures NOW (8 weeks after the workshop):

	Completely lacking in confidence	Somewhat lacking in confidence	Somewhat confident	Very confident	Did not attend this session
Advanced Suturing	Advanced Suturing - Completely lacking in confidence	Advanced Suturing - Somewhat lacking in confidence	Advanced Suturing - Somewhat confident	Advanced Suturing - Very confident	Advanced Suturing - Did not attend this session
Beginning Suturing	Beginning Suturing - Completely lacking in confidence	Beginning Suturing - Somewhat lacking in confidence	Beginning Suturing - Somewhat confident	Beginning Suturing - Very confident	Beginning Suturing - Did not attend this session
Injections for Headache/Migraine	Injections for Headache/Migraine - Completely lacking in confidence	Injections for Headache/Migraine - Somewhat lacking in confidence	Injections for Headache/Migraine - Somewhat confident	Injections for Headache/Migraine - Very confident	Injections for Headache/Migraine - Did not attend this session
IUD Management	IUD Management - Completely lacking in confidence	IUD Management - Somewhat lacking in confidence	IUD Management - Somewhat confident	IUD Management - Very confident	IUD Management - Did not attend this session
Joint Injection & Aspirations	Joint Injection & Aspirations - Completely lacking in confidence	Joint Injection & Aspirations - Somewhat lacking in confidence	Joint Injection & Aspirations - Somewhat confident	Joint Injection & Aspirations - Very confident	Joint Injection & Aspirations - Did not attend this session
Lumbar Puncture	Lumbar Puncture - Completely lacking in confidence	Lumbar Puncture - Somewhat lacking in confidence	Lumbar Puncture - Somewhat confident	Lumbar Puncture - Very confident	Lumbar Puncture - Did not attend this session
Para/Thoracenthesis	Para/Thoracenthesis - Completely lacking in confidence	Para/Thoracenthesis - Somewhat lacking in confidence	Para/Thoracenthesis - Somewhat confident	Para/Thoracenthesis - Very confident	Para/Thoracenthesis - Did not attend this session
Regional Anesthesia	Regional Anesthesia - Completely lacking in confidence	Regional Anesthesia - Somewhat lacking in confidence	Regional Anesthesia - Somewhat confident	Regional Anesthesia - Very confident	Regional Anesthesia - Did not attend this session
Splinting & Casting	Splinting & Casting - Completely lacking in confidence	Splinting & Casting - Somewhat lacking in confidence	Splinting & Casting - Somewhat confident	Splinting & Casting - Very confident	Splinting & Casting - Did not attend this session
Telehealth and In-Person Orthopedic Exams: Lower Body (does not typically require privileges)	Telehealth and In-Person Orthopedic Exams: Lower Body (does not typically require privileges) - Completely lacking in confidence	Telehealth and In-Person Orthopedic Exams: Lower Body (does not typically require privileges) - Somewhat lacking in confidence	Telehealth and In-Person Orthopedic Exams: Lower Body (does not typically require privileges) - Somewhat confident	Telehealth and In-Person Orthopedic Exams: Lower Body (does not typically require privileges) - Very confident	Telehealth and In-Person Orthopedic Exams: Lower Body (does not typically require privileges) - Did not attend this session
Telehealth and In-Person Orthopedic Exams: Upper Body (does not typically require privileges)	Telehealth and In-Person Orthopedic Exams: Upper Body (does not typically require privileges) - Completely lacking in confidence	Telehealth and In-Person Orthopedic Exams: Upper Body (does not typically require privileges) - Somewhat lacking in confidence	Telehealth and In-Person Orthopedic Exams: Upper Body (does not typically require privileges) - Somewhat confident	Telehealth and In-Person Orthopedic Exams: Upper Body (does not typically require privileges) - Very confident	Telehealth and In-Person Orthopedic Exams: Upper Body (does not typically require privileges) - Did not attend this session

Privileges

I have been working to receive towards privileges to perform the following skills/procedures:

	YES	NO	Did not attend this session	I have received privileges since attending skills day
Advanced Suturing	Advanced Suturing - YES	Advanced Suturing - NO	Advanced Suturing - Did not attend this session	Advanced Suturing - I have received privileges since attending skills day
Beginning Suturing	Beginning Suturing - YES	Beginning Suturing - NO	Beginning Suturing - Did not attend this session	Beginning Suturing - I have received privileges since attending skills day
Injections for Headache/Migraine	Injections for Headache/Migraine - YES	Injections for Headache/Migraine - NO	Injections for Headache/Migraine - Did not attend this session	Injections for Headache/Migraine - I have received privileges since attending skills day
IUD Management	IUD Management - YES	IUD Management - NO	IUD Management - Did not attend this session	IUD Management - I have received privileges since attending skills day
Joint Injection & Aspirations	Joint Injection & Aspirations - YES	Joint Injection & Aspirations - NO	Joint Injection & Aspirations - Did not attend this session	Joint Injection & Aspirations - I have received privileges since attending skills day
Lumbar Puncture	Lumbar Puncture - YES	Lumbar Puncture - NO	Lumbar Puncture - Did not attend this session	Lumbar Puncture - I have received privileges since attending skills day
Para/Thoracenthesis	Para/Thoracenthesis - YES	Para/Thoracenthesis - NO	Para/Thoracenthesis - Did not attend this session	Para/Thoracenthesis - I have received privileges since attending skills day
Regional Anesthesia	Regional Anesthesia - YES	Regional Anesthesia - NO	Regional Anesthesia - Did not attend this session	Regional Anesthesia - I have received privileges since attending skills day
Splinting & Casting	Splinting & Casting - YES	Splinting & Casting - NO	Splinting & Casting - Did not attend this session	Splinting & Casting - I have received privileges since attending skills day
Telehealth and In-Person Orthopedic Exams: Lower Body (does not typically require privileges)	Telehealth and In-Person Orthopedic Exams: Lower Body (does not typically require privileges) - YES	Telehealth and In-Person Orthopedic Exams: Lower Body (does not typically require privileges) - NO	Telehealth and In-Person Orthopedic Exams: Lower Body (does not typically require privileges) - Did not attend this session	Telehealth and In-Person Orthopedic Exams: Lower Body (does not typically require privileges) - I have received privileges since attending skills day
Telehealth and In-Person Orthopedic Exams: Upper Body (does not typically require privileges)	Telehealth and In-Person Orthopedic Exams: Upper Body (does not typically require privileges) - YES	Telehealth and In-Person Orthopedic Exams: Upper Body (does not typically require privileges) - NO	Telehealth and In-Person Orthopedic Exams: Upper Body (does not typically require privileges) - Did not attend this session	Telehealth and In-Person Orthopedic Exams: Upper Body (does not typically require privileges) - I have received privileges since attending skills day

Additional comments

Leave this field blank

You are here

Provider Skills & Procedures Workshop - 8 week evaluation (Skills Day)