Renal Inter-Professional Education simulation course: Pre-course Quiz and Evaluation

Thankyou for spending the time to fill out this questionnaire.
Responses are anonymous.

Part 1.
About you
1.Please write the month you were born followed by the last three digits of your postcode. Eg August and TW1 1NW would be August1NW as a unique identifier code.
2.Are you a participant on the course or a member of faculty?
3.Which date did you attend the simulation training session?
4.Where did you attend the simulation session?
5.What best describes your job role ?
Part 2
The next set of questions are a pre-course quiz, again anonymous, to gauge your level of understanding/knowledge around some of the cases we will be simulating. Their may be no single correct answer and practice varies between centres...
CASE 1- Pulmonary renal syndrome
6.Please name what immunosuppression, you would initiate in a 30yr old female with a new presentation of ANCA/anti GBM vasculitis with pulmonary haemorrhage? 
7.What other non-immunosuppressive therapy would you co-administer? 
CASE 2- Peritoneal Dialysis
8.What different strengths of PD dialysate do you know- please name them and their strength.
9.What information can a PET adequacy test give us? 
10.If your patient is a fast transporter - what 2 changes could you make to the PD prescription to achieve better dialysis? 
11.Name 3  factors that can lead to PD membrane failure? 
CASE 3- Renal transplant complications
12.What immunosuppression would you expect a renal transplant recipient to be on, 2 months following a transplant (high immunological risk) with use of a standard induction agent? What dose/ target drug level range would you aim for? 
13.What additional medication would you prescribe if the transplant was CMV +/-? 
14.What other medication, excluding immunosuppression, would you co-prescribe in a renal transplant recipient 2 months out from transplantation ? 
CASE 4- Emergencies occurring on haemodialysis
15.What drug treatment would you aim to give for acute coronary syndrome in a haemodialysis patient? 
16.In the non acute setting; Name 5 things you may do to help prevent hypotension during haemodialysis? 
PART 3- Self confidence rating
Please rate your confidence in managing the following scenarios using a scale of 1 - 5, where 1 is not at all confident and 5 is very confident.
17.Managing  pulmonary renal syndrome?
1.Not at all confident
2 Unconfident
3 Average
4 Confident
5.Very confident
18.Consenting for immunosuppression for vasculitis?
1.Not at all confident
2. Unconfident
3. Average
4. Confident
5.Very confident
19.Interpreting PET adequacy?
1.Not at all confident
2. Unconfident
3. Average
4. Confident
5.Very confident
20.Changing prescriptions according to changing PD membrane status?
1.Not at all confident
2. Unconfident
3. Average
4. Confident
5.Very confident
21.Managing sepsis in a renal transplant patient?
1.Not at all confident
2. Unconfident
3. Average
4. Confident
5.Very confident
22.Changing transplant medications in view of sepsis?
1. Not at all confident
2. Unconfident
3. Average
4. Confident
5. Very confident
23.Managing cardiogenic shock on haemodialysis?
1.Not at all confident
2. Unconfident
3. Average
4. Confident
5.Very confident
24.Discussing withdrawal of dialysis with a patient?
1.Not at all confident
2. Unconfident
3. Average
4. Confident
5.Very confident
Part 3: Non-technical skills training

With this course we hope to use simulation to provide you with an experience of how to practically manage a challenging renal scenario. We hope to enable you not only to practice the clinical management but also develop skills in operating medical devices and a focus on how environment, policy and systems impact the way that we work. This alongside non-technical skills (i.e. communication, teamwork, leadership and situational awareness) will be part of the focus of our training day.
25.Is there any particular area of your practice relating to these non-technical skills you would like us to focus on today?
In general from this simulation day educational event.....
26.What would you hope to gain from this course?