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Templates & Activity Log

Practice Support Program (PSP) Templates

Step 1 – Assessment – Self-Reflective Assessment

Step 2 – Professional Development – Learning Objectives

Step 3 – Professional Development – Plan and Complete Activities

Step 4 – Professional Development – Evaluate Activities

Step 5 – Professional Development – QA Cycle Evaluation

Activity Logs

  • Excel Version(Electronic Record) (Updated 2021 October version)

  • PDF Version(Physical Record) (Updated 2023 July version)

  • Video Instructions

The purpose of the Activity Log is to facilitate ensuring whether 50 CE hours have been achieved in the reporting period.

Samples of Completed Templates and Activity Log