Name: Colonoscopy Skills Improvement (CSI) CourseDate:Teaching Centre:

Please indicate which CanMEDS roles you felt were addressed during this educational activity?

□ Medical Expert □ Scholar □ Collaborator□ Communicator □ Leader□ Professional □ Health Advocate

This Activity has helped me determine that my knowledge and/or colonoscopy performance are current or consistent with current evidence. Yes No

I need to further explore colonoscopy skills in the following area(s):

To help address this performance gap, I can pursue the following strategies:

To ensure I can reach the above target, I shall anticipate:

I shall follow up on my progress on (date):___________________________

In reflection, I have increased my knowledge and performance of colonoscopy technique, or I have further review to undertake by doing the following:

Please record your hours of Section 3 credit on MAINPORT at https://login.royalcollege.ca/oamlogin/login.jsp

Name: Train the Endoscopy Trainer (TET) CourseDate:Teaching Centre:

Please indicate which CanMEDS roles you felt were addressed during this educational activity?

□ Medical Expert □ Scholar □ Collaborator□ Communicator □ Leader□ Professional □ Health Advocate

This Activity has helped me determine that my knowledge and/or teaching performance are current or consistent with current evidence. Yes No

I need to further explore teaching/training skills in the following area(s):

To help address this performance gap, I can pursue the following strategies:

To ensure I can reach the above target, I shall anticipate:

I shall follow up on my progress on (date):_______________________________

In reflection, I have increased my knowledge and performance of teaching colonoscopy, or I have further review to undertake by doing the following:

Please record your hours of Section 3 credit on MAINPORT at https://login.royalcollege.ca/oamlogin/login.jsp