Evaluation form – critical appraisal of a topic - Australian and New ...

ABN 82 055 042 852Records ManagementCritically Appraise a TopicAUSTRALIAN AND NEW ZEALANDCOLLEGE OF ANAESTHETISTSSRACritically appraise a topic for internal evaluation and present it to the departmentThis evaluation form should be used by the departmental scholar role tutor or their nominee (who must beeligible to perform workplace-based assessments), to evaluate the critical appraisal of a topic, undertakenby the trainee and presented to the department.The form should be forwarded to the supervisor of training, for confirmation of the activity. Please do notsend the form to the College. It may be retained by the trainee for their records.1. PERSONAL INFORMATIONANZCA ID:Family name:First Name:Middle Name:2. EVALUATION DETAILSTitle of critical appraisal:Date of departmental presentation:Day Month YearEvaluation completed by:3. EVALUATIONDate:Day Month YearNotperformedImprovementrequiredWas the appraisal focused by a well-built question?(Use of PICO format)Comments on question formulation including what was done well and what could be improved upon:PerformanceacceptableWas an explicit and sensible process used to identify and select theevidence?Was the evidence appraised the best available to answer the questioni.e. key studies were not overlooked?Comments on search strategy and results including what was done well and what could be improved upon:28 May 2013PAGE 1 OF 2

ANZCA ID:AUSTRALIAN AND NEW ZEALANDCOLLEGE OF ANAESTHETISTSWere appropriate validity criteria applied to the evidence appraised?NotperformedImprovementrequiredPerformanceacceptableComments on the appraisal of the evidence including what was done well and what could be improved upon:How strong is the conclusion?Does the appraisal address if the conclusion can be applied in theworkplace and to patients (where applicable)?Were all clinically important outcomes, benefits, harms and costsdiscussed?Has the author introduced a bias based on a conflict of interest/stronglyheld belief?Overall comments on production and outcome of appraisal including what was done well and what could be improvedupon:Adapted with thanks to the Department of Anaesthesia and Perioperative Medicine, Monash Health, Victoria, Australia28 May 2013PAGE 2 OF 2