Training and Education Needs Assessment Form

Education and Outreach Goals Assessment Form Confidentiality Notice: All information exchanged and discussions that occur prior to, during, and after an education and outreach session will be treated as confidential by AAALAC International representatives. To help AAALAC International’s education and outreach efforts meet your goals, please take a few minutes to complete this form. In addition to selecting which education and outreach modules/submodules you would like presented, please list any additional topics you would like to have included. Following receipt of this form, an AAALAC International staff member will contact you to discuss the visit in more detail and to make sure we understand your specific objectives. General Information: What are your main goals? Approximately how many people do you expect to attend? Describe the type(s) of staff who will attend (animal care technicians, investigators, IACUC members, etc.): Training Topics: □ AAALAC International’s Expectations for Animal Care and Use Committees. (~6.5 hours if all submodules included) □ □ □ □ □ □ □ AAALAC International’s Use of Performance Based Standards to Evaluate Animal Care and Use Programs and Facilities. (~1 hour) Maintaining a Healthy and Well Balanced Committee. (~0.5 hour) Performing an Effective Semiannual Program Review. (~1 hour) Performing an Effective Semiannual Facility Inspection. (~1 hour) Review of Animal Protocols and Post-Approval Monitoring. (~1.5 hours) Documentation, Policies, and Guidelines. (~0.5 hour) The Committee’s Role in Occupational Health and Safety. (~0.5 hour) □ □ Committee Oversight of Agricultural Animals in Agricultural Research Programs. (~0.5 hour) The AAALAC International Perspective on Occupational Health and Safety (~2 hours) □ □ □ □ □ Hazard Identification and Risk Assessment (~1 hour) Medical Surveillance and Preventive Medicine for Personnel (~0.5 hour) Personnel Training, Facilities, Monitoring Programs, and Personal Protective Equipment (~0.5 hour) AAALAC International’s Expectations for Veterinary Medical Care (~1 hour) AAALAC International’s Expectations for the Physical Plant of Biomedical Animal Care and Use Programs (~1.5 hours) Please list any additional topics or specific issues you would like to make sure are included in any of the modules you selected: Are there any other ways we might tailor this education and outreach session to better meet your goals? Please e-mail or fax the completed form to the AAALAC International Main Office: jswearengen@aaalac.org or fax: +301.696.9627

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