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Pilot Revision Report Template

Pilot Revision Report Template

Use this template after pilot execution.

1. Pilot Summary

  • Pathway(s):
  • Cohort size:
  • Duration:
  • Facilitator team:
  • Report date:

2. Objectives and Success Criteria

ObjectiveTargetActualStatus
Retrieval performance
PBA quality score
Completion rate
Safety incident threshold

3. Quantitative Findings

  • Retrieval score trends:
  • Rubric score distribution:
  • Completion and dropout analysis:
  • Practice adherence:

4. Qualitative Findings

  • Learner-reported strengths:
  • Learner-reported friction points:
  • Facilitator observations:
  • Notable quotes (anonymized):

5. Safety and Ethics Review

  • Incident summary by severity:
  • Time-to-response metrics:
  • Escalations and outcomes:
  • Required policy updates:

6. Evidence and Instructional Analysis

  • Which design choices performed best?
  • Which assumptions failed?
  • Needed updates to AQAL mapping or ILP taxonomy:
  • Needed updates to assessments and rubrics:

7. Revision Decisions

Change IDPriorityOwnerTag ([COPILOT]/[HUMAN-*])Due Date

8. Go/No-Go Recommendation

  • Recommendation:
  • Conditions required before scale:
  • Open risks: