Title of Event

Venue

Date(s)

Intended learning outcomes

[by the end of this event, I will be able to...]

Key learning points relevant to practice

[what I learnt from the event]

Plan for application into practice

[what am I going to do with this learning?]

Date

[date you completed the first section of the template]

Review date

[date you intend to complete the second section of the template]

Impact of application of learning to own practice and evidence to support this

[how has this learning affected my practice and how can I demonstrate this?]

Further learning needs

Date

[date you completed the second section of the template]