1.27.2022 Primary Care WebEx Evaluation

Please answer the following questions to help us determine this activity’s effectiveness in meeting the identified educational needs. We appreciate your participation in this activity and value your feedback.

What is your area of speciality?

e.g.: Family Medicine, Cardiology, Ob/Gyn, etc.

How many years have you been in practice?

Please evaluate each presentation in terms of how it enhanced your knowledge and ability to apply new strategies and tools in your clinical practice. *

5= Excellent: Addressed gaps in knowledge and offered strategies I will apply 4= Good: Addressed gaps in knowledge and offered some strategies I will consider applying 3= Neutral: Reinforced current knowledge and strategies I currently apply 2= Fair: Provided minimal new knowledge with limited strategies I can apply 1= Poor: Provided no new knowledge or strategies I can apply

	5 (excellent)	4 (good)	3 (neutral)	2 (fair)	1 (poor)
Supriya Varadarajulu, MD	Supriya Varadarajulu, MD - 5 (excellent)	Supriya Varadarajulu, MD - 4 (good)	Supriya Varadarajulu, MD - 3 (neutral)	Supriya Varadarajulu, MD - 2 (fair)	Supriya Varadarajulu, MD - 1 (poor)

Please provide individualized speaker comments or feedback

Rate your ability to apply advances in asthma guidelines to your clinical practice: *

1 = not at all able 10 = extremely able

	1	2	3	4	5	6	7	8	9	10
Before the activity:	Before the activity: - 1	Before the activity: - 2	Before the activity: - 3	Before the activity: - 4	Before the activity: - 5	Before the activity: - 6	Before the activity: - 7	Before the activity: - 8	Before the activity: - 9	Before the activity: - 10
After the activity:	After the activity: - 1	After the activity: - 2	After the activity: - 3	After the activity: - 4	After the activity: - 5	After the activity: - 6	After the activity: - 7	After the activity: - 8	After the activity: - 9	After the activity: - 10

As a result of attending this activity what new strategies will you apply? *

Will you attempt to address any identified barriers?

Yes

No

Unsure

If no, why?

Will you attempt to address any identified barriers? If no, why?

Please respond to the following statements:

	Yes	No	Unsure
Program was free of commercial bias	Program was free of commercial bias - Yes	Program was free of commercial bias - No	Program was free of commercial bias - Unsure
Appropriate disclosure of conflict of interest was made for each speaker, author and/or planner	Appropriate disclosure of conflict of interest was made for each speaker, author and/or planner - Yes	Appropriate disclosure of conflict of interest was made for each speaker, author and/or planner - No	Appropriate disclosure of conflict of interest was made for each speaker, author and/or planner - Unsure
Educational content covered was balanced and evidenced-based	Educational content covered was balanced and evidenced-based - Yes	Educational content covered was balanced and evidenced-based - No	Educational content covered was balanced and evidenced-based - Unsure
Information provided was relevant to your scope of practice	Information provided was relevant to your scope of practice - Yes	Information provided was relevant to your scope of practice - No	Information provided was relevant to your scope of practice - Unsure
Instructional methods used during this activity appropriate for the content and audience	Instructional methods used during this activity appropriate for the content and audience - Yes	Instructional methods used during this activity appropriate for the content and audience - No	Instructional methods used during this activity appropriate for the content and audience - Unsure

If you answered no to any of the above, please explain:

Describe any clinical situation(s) that you find difficult to manage or resolve that you would like addressed in future educational activities:

Do you have any general comments or suggestions regarding the Primary Care WebEx activity?

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1.27.2022 Primary Care WebEx Evaluation