NUWAYSMD — TRAINING EVALUATION WORKSHEET Version 1 • September 13, 2026 Compare learning objectives, prerequisites, format, assessment and follow-up support. Learner role / current experience: ____________________________________________________________ Specific learning objective: ____________________________________________________________ Proposed course / provider / date: ____________________________________________________________ Eligibility and prerequisites to confirm: ____________________________________________________________ Jurisdiction, scope and supervision questions assigned for qualified review: ____________________________________________________________ Instructor background and relevant experience: ____________________________________________________________ Teaching format / supervised practice / group size: ____________________________________________________________ Equipment / materials / included costs / exclusions: ____________________________________________________________ Assessment method and what completion signifies: ____________________________________________________________ Post-course support and follow-up learning: ____________________________________________________________ Responsible clinical lead / next review: ____________________________________________________________ Original practice-planning worksheet. Not a clinical, legal, tax or investment recommendation. Do not include patient-identifying information. No responses are sent to NuWaysMD or any partner.