SECTION 2:  Continuing Educational Professional Development

Please complete in respect of each Provider / Instructor course on which you teach.

Name	

Course Centre	
	
Course Dates	
	
Type of Course
(circle one)	ARC ALS2/ALS	ARC  ALS1/ILS	ARC ALS2 Instructor	RC(UK)
ALS	RC(UK) ILS	
	EMST	APLS	ATLS	ERC ALS	GIC	
	Other:		

Instructor Activity / topic
(e.g. Lecture, skill station, workshop)	Candidate Feedback Score *	
Achieved outcomes and points for improvement

	

Instructor Activity / topic
(e.g. Lecture, skill station, workshop)	Candidate Feedback Score *	
Key points of learning for you, achieved outcomes and any points for improvement

	

Instructor Activity / topic
(e.g. Lecture, skill station, workshop)	Candidate Feedback Score *	
Key points of learning for you, achieved outcomes and any points for improvement

	

Instructor Activity / topic
(e.g. Lecture, skill station, workshop)	Candidate Feedback Score *	
Key points of learning for you, achieved outcomes and any points for improvement

	
* Summaries of candidate feedback scores are available from the Course Centre, not from the Australian Resuscitation Council