4th International Pediatric Urology Intensive Course - Tabba Kidney

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4th International Pediatric Urology Intensive Course

registration Form

Title

Name *

First

Last

Father's / Husband Name *

Email *

Phone *

WhatsApp Number *

Speciality

Name of College / Institute *

Designation

PM&DC No.

Fellowship No/CPSP ID

National Identity Number

Address *

Address Line 1

City

State / Province / Region

Country

How did you get to know about this intensive course event.? *

Social Media
Website
Reference
Other College

Comments or Questions

Intensive Pediatric Urology Conference Tabba Kidney Institute CME-Accredited Activity – Participant Evaluation Form

SECTION A: PARTICIPANT INFORMATION (Optional)

Name *

Email *

Professional Category *

Consultant
Fellow
Resident/Trainee
Pediatric Surgeon
Nurse
Allied Health
Other

Years of Clinical Experience: *

<2 years
2–5 years
6–10 years
>10 years

SECTION B: EDUCATIONAL NEED & OBJECTIVES

The educational content addressed my learning needs in Pediatric Urology. *

Yes
No

The stated learning objectives were clearly defined. *

Yes
No

Sessions effectively met the stated learning objectives. *

Yes
No

Content level was appropriate for my scope of practice. *

Yes
No

SECTION C: SCIENTIFIC VALIDITY & BIAS

Content was evidence-based and guideline compliant. *

Yes
No

Faculty referenced current literature. *

Yes
No

Activity was free of commercial bias. *

Yes
No

Conflicts of interest were disclosed. *

Yes
No
N/A

SECTION D: EDUCATIONAL DESIGN

Teaching methods were effective. *

Yes
No

Case-based discussions enhanced learning. *

Yes
No

Surgical videos/live sessions improved understanding. *

N/A
Strongly
disagree
Disagree
Neutral
Agree
Strongly agree

Interaction opportunities were adequate. *

Yes
No

SECTION E: FACULTY PERFORMANCE

Faculty demonstrated subject expertise. *

Yes
No

Presentations were clear and well organized. *

Yes
No

Key learning points were highlighted. *

Yes
No

Time management by speakers: *

Poor
Fair
Good
Excellent

SECTION F: LEARNING OUTCOMES

My knowledge increased. *

Yes
No

My clinical competence improved. *

Yes
No

I intend to apply learning to practice. *

Yes
No

Anticipated changes: *

Diagnosis
Treatment
Surgical decisions
Counseling
No change
Other

Planned practice change: *

Yes
No

SECTION G: ORGANIZATION

Overall organization *

1
2
3
4
5

Venue and learning environment *

1
2
3
4
5

Audio-visual quality *

1
2
3
4
5

Adherence to schedule: *

Poor
Fair
Good
Excellent

SECTION H: OVERALL EVALUATION

Overall quality (1–5): *

1
2
3
4
5

Worth my time: *

Strongly disagree
Disagree
Neutral
Agree
Strongly agree

Recommend to colleagues? *

Yes
No
Maybe

Attend future CME at TKI? *

Yes
No
Maybe

SECTION I: CONTINUOUS IMPROVEMENT

Strengths: *

Yes
No

Areas for improvement: *

Yes
No

Suggested future topics: *

Yes
No

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