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? 0-5 years 6-10 years 11-15 years 16-21 years 22-27 years 28-33 years 34+ years Please evaluate each presenter in terms of how they 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) Doug Olson, MD Doug Olson, MD - 5 (excellent) Doug Olson, MD - 4 (good) Doug Olson, MD - 3 (neutral) Doug Olson, MD - 2 (fair) Doug Olson, MD - 1 (poor) Nate Lueck, MD Nate Lueck, MD - 5 (excellent) Nate Lueck, MD - 4 (good) Nate Lueck, MD - 3 (neutral) Nate Lueck, MD - 2 (fair) Nate Lueck, MD - 1 (poor) Ian Gunsolus, PhD Ian Gunsolus, PhD - 5 (excellent) Ian Gunsolus, PhD - 4 (good) Ian Gunsolus, PhD - 3 (neutral) Ian Gunsolus, PhD - 2 (fair) Ian Gunsolus, PhD - 1 (poor) Phillip Heaton, PhD Phillip Heaton, PhD - 5 (excellent) Phillip Heaton, PhD - 4 (good) Phillip Heaton, PhD - 3 (neutral) Phillip Heaton, PhD - 2 (fair) Phillip Heaton, PhD - 1 (poor) Please provide individualized speaker comments or feedback Rate your ability to apply Laboratory best practices in your clinical practice: * 1 = not at all able 10 = extremely able 12345678910 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? * What barriers will prevent you from making any desired changes? (Check all that apply) Cost Lack of experience Lack of opportunity Lack of resources Lack of administrative support Lack of time Patient compliance issues Lack of consensus on professional guidelines No perceived barriers Other... What barriers will prevent you from making any desired changes? Other... 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: YesNoUnsure 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 this activity? Leave this field blank
