TED-FRM-002E (2) - Training Needs Assessment Checklist

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KINDOM OF SAUDI ARABIA ‫المملكة العربية السعودية‬

MINISTRY OF HEALTH ‫وزارة الصحة‬


GENERAL DIRECTORATE OF HEALTH AFFAIRS
RIYADH REGION ‫المديرية العامة الشئون الصحية بمنطقة الرياض‬
DAWADMI GENERAL HOSPITAL ‫مستشفى محافظة الدوادمى العام‬

EMPLOYEE NAME:……………………………………………..….. ID NO:………………………


JOB TITLE:…………………………………………………..…….…. DATE:…………………………………………….…………
DEPARTMENT:……………………………………………………… REASON FOR ASSESSMENT:………………………………..
Normal Training Needs Special

TRAINING NEEDS ASSESSMENT CHECKLIST


The following is a list of some of the many valid methods by which to discover needs. Please place a check next to as
many of these methods as apply to the activity you are planning:
Evaluations of prior CME activities Competency assessment data
New medical/nursing/clinical practice knowledge Hospital Committee data or findings, i.e.:
Continuing Education  Pharmacy and Therapeutics
Staff interviews  Infection Control
Head of Department recommendations  Morbidity and Mortality
Hospital administration recommendations  Tissue and Transfusion
Medical Record Review  Quality Management Council
Practice profile (frequency of common diagnoses or Patient Care Evaluation
conditions) Performance appraisal data
Adverse outcome data / OVR Report Nature of frequently asked questions
Health records statistics Monitoring of rounds/clinical discussions
New products or services available Compliance to Standards (describe on separate page)
Departmental meetings "Seasonal" topics
Other (Describe on separate page)

Prioritization Criteria. Please, place a check.

1. Existing Training Yes No


2. Availability of Training Yes No
3. Provided by:
Internal, specify Department…………………………………….……………….
External, specify organization……………………………………………………

Comments & Recommendations


1. Target Group
2. Required Training  Lecture  Training  Workshop Internal On-Job Training
 Others………………………………………………………………..……
3. Description
4. Planning Process used to assessed CME needs Competency assessment  Feedback
 Others………………………………………………………………………

CONDUCTED BY : _______________________________________
IMMEDIATE SUPERVISOR

APPROVED BY: ________________________________________


KINDOM OF SAUDI ARABIA ‫المملكة العربية السعودية‬
MINISTRY OF HEALTH ‫وزارة الصحة‬
GENERAL DIRECTORATE OF HEALTH AFFAIRS
RIYADH REGION ‫المديرية العامة الشئون الصحية بمنطقة الرياض‬
DAWADMI GENERAL HOSPITAL ‫مستشفى محافظة الدوادمى العام‬
HEAD OF DIVISION

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