ASTS - 5th Annual Surgical Fellows Symposium
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Agreement
By completing this form, you attest that you have attended the activity in its entirety.
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Please rate the following:
The program was relevant to my work.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Content matched stated objectives.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Usefulness of handouts/AV.
Excellent
Very Good
Good
Fair
Poor
Quality of facilities.
Excellent
Very Good
Good
Fair
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How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
Excellent
Very Good
Good
Fair
Poor
If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain:
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Objective 1: Demonstrate focused knowledge in areas that have been identified as underemphasized in many clinical training programs.
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Objective 2: Apply knowledge regarding the underlying issues of organ allocation in transplant surgery to improve patient care and outcomes.
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Objective 3: Learn new methods to improve immune suppression and function and the long-term management of post transplant recipients to improve patient outcomes.
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Objective 4: Use case studies to improve competence in organ specific donor-recipient pairing and strategies to apply them in individual practices.
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Please answer the following:
Do you believe this activity was appropriate for the scope of your professional practice?
Yes
No
NA
Was the educational content scientifically sound?
Yes
No
NA
Was the educational content free from commercial bias?
Yes
No
Was the mode of education effective for learning?
Yes
No
If you answered 'No' to any of the above questions, please explain:
Were you solicited by sales personnel in an educational room while you attended this educational activity?
Yes
No
NA
If you answered 'Yes' to the above question, please explain:
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What did you learn during this activity that you intend to integrate into your practice?
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What questions have arisen in your practice for which you need answers/strategies that you can implement?
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What patient problems or patient challenges do you feel you are not able to address appropriately or to your satisfaction?
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What problems are your patients communicating to you that need attention or follow-up?
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Are you interested in basic, intermediate or advanced level trainings?
Basic
Intermediate
Advanced
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What barriers might you have that would interfere with implementation of new information from this training?
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How could the Fellows Symposium be improved to impact your competence or performance in practice?
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If you attended the Case Discussion on Monday, September 19, 2011 - Pancreas Case Discussion with Panel - Presenter: Randall S. Sung - Panel: Khalid O. Khwaja, Mark D. Stegall, Raja Kandaswamy, Mitchell Henry and Ryutaro N. Hirose
This case discussion provided me with information that I can use in patient care.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
This case discussion provided me with necessary information so that I can clearly define strategies/approaches.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The team time was valuable in evaluating the cases and preparing for the discussion.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Overall, this series improved my;
Competency
Performance
Patient Outcomes
Give an example for each improvement or explain how each was improved.
Comments, suggested topics/cases, and/or speakers you would like for future activities:
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If you attended the Case Discussion on Tuesday, September 20, 2011 - Liver Case Discussion with Panel - Presenter: Johnny C. Hong - Panel: John P. Roberts, Elizabeth A. Pomfret, Kim M. Olthoff, Charles M. Miller, Alan N. Langas
This case discussion provided me with information that I can use in patient care.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
This case discussion provided me with necessary information so that I can clearly define strategies/approaches.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The team time was valuable in evaluating the cases and preparing for the discussion.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Overall, this series improved my;
Competency
Performance
Patient Outcomes
Give an example for each improvement or explain how each was improved.
Comments, suggested topics/cases, and/or speakers you would like for future activities:
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If you attended the Case Discussion on Wednesday, September 21, 2011 - Kidney Case Discussion with Panel - Presenter: Timothy M. Schmitt - Panel: Dorry L. Segev, Peter G. Stock, Randall S. Sung, Stuart M. Flechner, Amy R. Evenson
This case discussion provided me with information that I can use in patient care.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
This case discussion provided me with necessary information so that I can clearly define strategies/approaches.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The team time was valuable in evaluating the cases and preparing for the discussion.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Overall, this series improved my;
Competency
Performance
Patient Outcomes
Give an example for each improvement or explain how each was improved.
Comments, suggested topics/cases, and/or speakers you would like for future activities:
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Additional comments:
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