Please enable JavaScript in your browser to complete this form.Name *FirstLastIf you had a choice of MCAP versions at the time of application, what version would you have preferred?MCAP OnlineMCAP In ClassromChoose the statement that best describes your previous experience with online learning:Prior to MCAP Online, I had never participated in an online training programPrior to MCAP Online, I had participated in an online training programPrior to MCAP Online, I had participated in several online training programsChoose the statement that best describes your experience and confidence level from a navigation perspective:I was confident navigating through the MCAP Online module and found the design to be intuitive.I was somewhat confident navigating through the MCAP module and found the design to be relatively intuitiveI was not confident navigating through the MCAP Online module and required assistance initially in order to figure out the designOn average, how many hours did you spend on each module outside of class time?5 hours or less6-10 hours11-15 hoursMore than 15 hoursPlease check the modules that you completed (Check all that apply):Module 1: An Introduction to Patient-Centered CareModule 2: Giving Advice & Including the Patient in the Management PlanModule 9: Collaborative Care, Teamwork, and Conflict ResolutionModule 10: Integrating into Rural PracticeWorkshop: The Canadian Healthcare SystemWorkshop: Providing Care for Indigenous PopulationsNow that you have completed MCAP Online, please rate the overall usefulness of the modules/workshops that you completed:Module 1: An Introduction to Patient Centered CareTo a great extentTo some extentTo a small extentNot at allNon-applicable as I did not complete this moduleModule 2: Giving Advice & Including the Patient in the Management PlanTo a great extentTo some extentTo a small extentNot at allNon-applicable as I did not complete this moduleModule 9: Collaborative Care, Teamwork, and Conflict ResolutionTo a great extentTo some extentTo a small extentNot at allNon-applicable as I did not complete this moduleModule 10: Integrating into Rural PracticeTo a great extentTo some extentTo a small extentNot at allNon-applicable as I did not complete this moduleWorkshop: The Canadian Healthcare SystemTo a great extentTo some extentTo a small extentNot at allNon-applicable as I did not complete this moduleWorkshop: Providing Care for Indigenous PopulationsTo a great extentTo some extentTo a small extentNot at allNon-applicable as I did not complete this moduleOverall, how would you rate the MCAP Materials?ExcellentGoodAverageBelow averagePoorOverall, how would you rate MCAP Online instructors?ExcellentGoodAverageBelow averagePoorWere the facilitator knowledgeable?Very knowledgeableKnowledgeableSomewhat knowledgeableNot knowledgeableWere the facilitator respectful?Very respectfulRespectfulSomewhat respectfulNot respectfulWere the facilitator friendly?Very friendlyFriendlySomewhat friendlyNot friendlyI felt:Very confident in participating in classConfident in participating in classSomewhat confident in participating in classNot Confident in participating in classI felt:Very confident in asking questions in classConfident in asking questions in classSomewhat confident in asking questions in classNot confident in asking questions in classHow would you rate your level of knowledge of Patient-Centered Care before MCAP Online? 1= Very poor and 10= Excellent Selected Value: 0 How would you rate your level of knowledge of Patient-Centered Care after MCAP Online? 1= Very poor and 10= Excellent Selected Value: 0 Overall, choose the statement that describes how you feel about MCAP Online:Exceeded my expectations.Met my expectations.Did not meet my expectations.Why or why not?Overall, would you recommend MCAP Online to other IMGs/IMDs?YesMaybeNoOther comments or feedback not captured above:We're always looking for ways to improve our program and we'd appreciate your feedback. Please let us know how we can make the program better? *Submit