Health Professional Educators in Family Medicine (HPE-FM) Department Representative Annual Faculty Update

Responsibilities and Expectations of Health Professional Educators in Family Medicine (HPE-FM):

1. Identify and document the HPE-FMs who are contributing to FM teaching in a meaningful way in each department.

2. Link those HPE-FMs to the HPE-FM HUB, resource and communication portal with the College of Family Physicians of Canada (CFPC)

3. Complete the HPEG-FM Department representative annual report form below, submit it to your department chair and 'cc' it to the HPEG-FM Exec

4. Attend (either in person or virtually) the annual HPEG-FM meeting which occurs on the Friday of each annual FMF conference

5. Whenever relevant, liaise with the appropriate educators within departments in order to facilitate connecting with as many of the HPE-FMs as possible

6. Please identify your own relationship to your Department of Family Medicine (i.e. full-time faculty, part-time faculty, adjunct appointment, clinical appointment, etc.)

1. Please tell us about yourself: *This question is required.

First Name

Last Name

University

Email Address

2. Please identify your own relationship to your Department of Family Medicine (i.e. full-time faculty, part-time faculty, adjunct appointment, clinical appointment, etc.) *This question is required.

3. How many Health Professional Educators (HPE)s are teaching in your Family Medicine Department? *This question is required.

4. Do you have a meaningful way to connect with those HPEs? *This question is required.

Please enter an 'other' value for this selection.
Please enter an 'other' value for this selection.

5. Do you have an active contact list for those HPEs? *This question is required.

6. Please attach it:

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6. Please list concerns (if any) from this community of HPEs that are relevant to your Department Chair: *This question is required.

7. Please list any other contributions of note made by HPEs within your Family Medicine Department (e.g. education, research, and clinical or other areas):

8. Other comments/feedback: