Please rate the following (0-Not Likely to 10-Very Likely) * 012345678910 How likely are you to recommend this course to a friend or colleague? How likely are you to recommend this course to a friend or colleague? - 0 How likely are you to recommend this course to a friend or colleague? - 1 How likely are you to recommend this course to a friend or colleague? - 2 How likely are you to recommend this course to a friend or colleague? - 3 How likely are you to recommend this course to a friend or colleague? - 4 How likely are you to recommend this course to a friend or colleague? - 5 How likely are you to recommend this course to a friend or colleague? - 6 How likely are you to recommend this course to a friend or colleague? - 7 How likely are you to recommend this course to a friend or colleague? - 8 How likely are you to recommend this course to a friend or colleague? - 9 How likely are you to recommend this course to a friend or colleague? - 10 I attest that I have completed this educational activity in its entirety and understand the learning objectives presented in the activity. * Yes No Were faculty disclosures made prior to the start of the CME activity? * Yes No Since completing the CME activity, please rate whether the following educational objectives were met. * DisagreeNeutralAgree A A - Disagree A - Neutral A - Agree B B - Disagree B - Neutral B - Agree C C - Disagree C - Neutral C - Agree Please rate the projected impact of this activity on your knowledge, competence, performance, and patient outcomes: * No ChangeNoYes This activity increased my knowledge. This activity increased my knowledge. - No Change This activity increased my knowledge. - No This activity increased my knowledge. - Yes This activity increased my competence. This activity increased my competence. - No Change This activity increased my competence. - No This activity increased my competence. - Yes This activity increased my performance. This activity increased my performance. - No Change This activity increased my performance. - No This activity increased my performance. - Yes This activity will improve my patient outcomes. This activity will improve my patient outcomes. - No Change This activity will improve my patient outcomes. - No This activity will improve my patient outcomes. - Yes Do you feel the activity was scientifically sound and free of commercial bias or influence? * Yes No If not scientific, please explain: Please identify how you will change your practice as a result of attending this activity. * Please select all that apply. This activity validated my current practice. No changes will be made Create/revise protocols, policies, and/or procedures Change the management and/or treatment of my patients Other... Please identify how you will change your practice as a result of attending this activity. Other... Please indicate any barriers you perceive in implementing these changes * Please select all that apply. Cost Lack of experience Lack of opportunity (patients) Lack of resources (equipment) Lack of administrative support Lack of time to assess/counsel patients Reimbursement/insurance issues Patient compliance issues Lack of consensus or professional guidelines No barriers Other... Please indicate any barriers you perceive in implementing these changes Other... Will you attempt to address these barriers in order to implement changes in your competence, performance, and/or patients’ outcomes? * Yes No No - Why? Yes - How? The content of this activity matched my current (or potential) scope of practice. * Yes No If does not match, please explain Please rate the following faculty: Speaker 1 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 2 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 3 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 4 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 5 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 6 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 7 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 8 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 9 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 10 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 11 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 12 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 13 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 14 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Please rate the following faculty: Speaker 15 * DisagreeNeutralAgree Speaker was knowledgeable regarding the content Speaker was knowledgeable regarding the content - Disagree Speaker was knowledgeable regarding the content - Neutral Speaker was knowledgeable regarding the content - Agree Presentations were balanced, objective, and scientifically rigorous Presentations were balanced, objective, and scientifically rigorous - Disagree Presentations were balanced, objective, and scientifically rigorous - Neutral Presentations were balanced, objective, and scientifically rigorous - Agree Speaker’s presentation and teaching skills were effective Speaker’s presentation and teaching skills were effective - Disagree Speaker’s presentation and teaching skills were effective - Neutral Speaker’s presentation and teaching skills were effective - Agree Comments: Describe any presentations that were exceptional: Describe any presentations that did not meet your needs or expectations: What is your overall evaluation of this CME Activity? * Excellent Very Good Good Fair Poor Please describe any clinical situations that you find difficult to manage or resolve that you would like to see addressed in future educational activities: Please write any suggestions/recommendations for improvement of the overall meeting: Leave this field blank
