MBChB Combined OSCE Examiner Training Form

{"elements":[{"isDiscrete":false,"hidden":false,"name":"1713954720933_0.03467845264452696_0.014361536954399012","readOnly":false,"id":603377636,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"Full Name","readOnly":false,"id":533724834,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"GMC Number (if applicable)","readOnly":false,"id":533724836,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Trust or University Department","readOnly":false,"id":533724841,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Speciality (If applicable)","readOnly":false,"id":533725326,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Address line 1","readOnly":false,"id":533725338,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Town or city","readOnly":false,"id":533725354,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"County","readOnly":false,"id":533725359,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Postcode","readOnly":false,"id":533725362,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Email","readOnly":false,"id":533724850,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"Contact Number","readOnly":false,"id":533724937,"type":"phoneNumber"},{"isDiscrete":false,"hidden":false,"name":"1713953772277_0.045959448277316683_0.6617830511572661","readOnly":false,"id":603376725,"type":"commentElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"25 years or under","value":"0-25yearsorunder"},{"text":"26-35 years","value":"1-2635years"},{"text":"36-45 years","value":"2-3645years"},{"text":"46-65 years","value":"3-4665years"},{"text":"66 years and over","value":"4-66yearsandover"},{"text":"Prefer not to say","value":"5-prefernottosay"}],"name":"Age Group","readOnly":false,"id":603376796,"type":"listElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Female","value":"0-female"},{"text":"Male","value":"1-male"},{"text":"Non-binary","value":"2-nonbinary"},{"text":"Other","value":"3-other"},{"text":"Prefer not to say","value":"4-prefernottosay"}],"name":"Gender Identity","readOnly":false,"id":603376696,"type":"listElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Arab","value":"0-arab"},{"text":"Asian or Asian British: Bangladeshi","value":"1-asianorasianbritishbangladeshi"},{"text":"Asian or Asian British: Chinese","value":"2-asianorasianbritishchinese"},{"text":"Asian or Asian British: Indian","value":"3-asianorasianbritishindian"},{"text":"Asian or Asian British: Pakistani","value":"4-asianorasianbritishpakistani"},{"text":"Asian or Asian British: Other Asian background","value":"5-asianorasianbritishotherasianbackground"},{"text":"Black or Black British: African","value":"6-blackorblackbritishafrican"},{"text":"Black or Black British: Caribbean","value":"7-blackorblackbritishcaribbean"},{"text":"Black or Black British: Other Black background","value":"8-blackorblackbritishotherblackbackground"},{"text":"Mixed: White and Asian","value":"9-mixedwhiteandasian"},{"text":"Mixed: White and Black African","value":"10-mixedwhiteandblackafrican"},{"text":"Mixed: White and Black Caribbean","value":"11-mixedwhiteandblackcaribbean"},{"text":"Mixed: Other mixed background","value":"12-mixedothermixedbackground"},{"text":"White","value":"13-white"},{"text":"Gypsy / Roma / Traveller","value":"14-gypsyromatraveller"},{"text":"Other ethnic background","value":"15-otherethnicbackground"},{"text":"Not known","value":"16-notknown"},{"text":"Prefer not to say","value":"17-prefernottosay"}],"name":"Ethnicity","readOnly":false,"id":603376963,"type":"listElement"},{"isDiscrete":false,"hidden":false,"name":"Other ethnic background","readOnly":false,"id":603376991,"type":"textFieldElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"},{"text":"Prefer not to say","value":"2-prefernottosay"}],"name":"Do you hold British Nationality","readOnly":false,"id":603377084,"type":"listElement"},{"isDiscrete":false,"hidden":false,"name":"What is your country of birth ","readOnly":false,"id":603377118,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"1713954426899_0.2510477240595369_0.5237130879992009","readOnly":false,"id":603377190,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"Date of Examiner Training Workshop","readOnly":false,"id":603377605,"type":"dateTimeElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Very useful","value":"0-veryuseful"},{"text":"Useful","value":"1-useful"},{"text":"Quite useful","value":"2-quiteuseful"},{"text":"Not very useful","value":"3-notveryuseful"}],"name":"1. How useful did you find this course in preparing you to be an OSCE examiner for Warwick Medical School. Please select the description that best reflects your opinion.","readOnly":false,"id":603379507,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"2. What do you think worked well","readOnly":false,"id":603377991,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"3. What could be done differently","readOnly":false,"id":603378048,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"4. Please add any further comments that you would like to make about the examiner training you attended","readOnly":false,"id":603378079,"type":"textBoxElement"}]}