IPNA TC FINAL REPORT

IPNA Teaching course

FINAL REPORT
GENERAL INFORMATION
Title of Teaching course
Date (start)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date (finish)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Country
City
Course director

TitleFirst NameLast Name
Your name and position - if different from the course director
Contact email
example@example.com
TEACHING COURSE DETAILS
Type of the Teaching Course:
TC attendance (numbers):
Total attendance (If multiple days, identify only unique attendees for TC)
Speakers: Local
Speakers: International
Pediatric Nephrologists
Pediatricians
Adult/General Nephrologists
Non-Pediatric, non-Nephrologist Physicians
Pediatric Nephrology trainees (Fellows)
Residents and medical students
Allied health professionals (nurses, dieticians, social workers, etc.)
Other attendees
TEACHING COURSE IMPACT
Has the course met your and attendees´ expectations?
Please provide details for the response
Is there expected program development or changes in delivery of care in your region expected to result from the course
Please provide details for the response
Are there existing programs that benefit from strengthening knowledge and/or competencies as a result of the course?
Please provide details for the response
FINANCIAL REPORT

Please fill in expenditure items

EVALUATION
Evaluation of the given presentations (include narrative feedback from attendees, or feedback from administrators/patients on the quality of the program, may attach supplement reports*
**supplemental reports

Cancelof
Would you apply for IPNA Teaching course again?
How can the IPNA Teaching courses program be improved?
Teaching material (to be available on the IPNA website)

Cancelof
Photos from the course

Cancelof
SIGNATURE: Teaching Course Organizer
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

IPNA Teaching course