Surgical Training Needs Assessment
Help us identify your current surgical skills, training interests, and preferences to improve future training programs.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Current Role/Position
*
Please Select
Resident
Fellow
Attending Surgeon
Nurse
Other
Years of Experience in Surgery
*
Please rate your confidence in performing the following surgical skills:
*
Rows
Not Confident
Somewhat Confident
Confident
Very Confident
Basic Suturing
1
2
3
4
Laparoscopic Procedures
5
6
7
8
Open Surgery
9
10
11
12
Emergency Procedures
13
14
15
16
Preoperative Assessment
17
18
19
20
Postoperative Care
21
22
23
24
Which surgical procedures are you most interested in receiving further training for? (Select all that apply)
*
Laparoscopic Surgery
Robotic-Assisted Surgery
Trauma Surgery
Vascular Surgery
Pediatric Surgery
Other
What are the main barriers you face in accessing surgical training? (Select all that apply)
*
Time constraints
Lack of funding
Limited training opportunities
Geographical distance
Other
Preferred training formats (Select all that apply)
*
Hands-on workshops
Online modules
Simulation-based training
Mentorship/apprenticeship
Other
How would you rate the overall quality of current surgical training resources available to you?
*
1
2
3
4
5
What additional support or resources would help you improve your surgical skills?
Please provide any other comments or suggestions regarding surgical training needs.
Submit Assessment
Should be Empty: