Supplemental digital content for Kogan JR, Conforti LN, Yamazaki K, Iobst W, Holmboe ES. Commitment to Change and Challenges to Implementing Changes After Workplace-Based Assessment Rater Training. Acad Med.
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Participant ID: __________________________________________
Supplemental Digital Chart 1
Commitment to Change Survey
Please identify up to 5 concrete, measurable changes that you will make in your evaluation practices after participating in this faculty development. These may include your own personal evaluation approaches or attempts to change the evaluation system in your residency program.
Change Level of motivation to make this change Anticipated difficulty in making this change
Not at all Motivated
Highly Motivated
Not at all Difficult
Extremely Difficult
1.
1 2 3 4 5 1 2 3 4 5
2.
1 2 3 4 5 1 2 3 4 5
3.
1 2 3 4 5 1 2 3 4 5
4.
1 2 3 4 5 1 2 3 4 5
5.
1 2 3 4 5 1 2 3 4 5
