DEMT Exit Survey
Please note all comments are collated for quality improvement of resources and may be shared with your Regional Censor and Deputy Censor.
Your Name
*
First Name
Last Name
ACEM ID
*
Email
*
example@example.com
Hospital Name
*
DEMT Role
*
DEMT
Paediatric DEMT
Network DEMT
Temporary DEMT
Date Resignation Effective
*
-
Day
-
Month
Year
Date
Is another DEMT replacing your role?
*
An existing DEMT at this site is replacing my role
An incoming DEMT applicant for this site will replace my role
There is no incoming replacement for my role
Do you have active trainee assessments or placements assigned to you in the portal?
*
Yes
No
Unsure
Is there an incoming applicant replacing your DEMT role?
*
Yes
No
Unsure
Please advise the name of the incoming applicant replacing your DEMT role
*
First Name
Last Name
How long have you held this DEMT role at this site?
*
Under 1 year
1‐2 years
3‐5 years
6‐10 years
Over 10 years
Reason I am leaving the role:
*
Succession planning
Leaving the hospital
Moving into the DEM role
Moving into another role in the hospital
Excessive workload
Would rather not say
Other
Please rate the below areas in the context of DEMT support.
*
Dissatisfied
Neutral
Satisfied
ACEM Online Teaching Resources
ACEM Administration Support
ACEM IT online Support
Site Hospital Executive
Clinical Support Time
Overall satisfaction with the role
Were there any specific training processes you found to be very successful or not very successful?
Any other comments?
Submit
Should be Empty: