How would you like your name to appear on your certificate?

Profession

How many credit hours did you complete?

Credit Hours (maximum: 1.5)

Agreement

By completing this form, you attest that you have attended the number of hours you have indicated above.

I agree

Please rate the following:

How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?

Comments:

Objective 1: Explain how all domains off pediatric feeding disorder contribute to tube feed weaning potential.

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Objective 2: Evaluate a child's potential for safe and effective tube weaning from his/her domain and collaborate with colleagues from other disciplines as well as caregivers to determine overall candidacy.

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Objective 3: Identify children with pediatric feeding disorder who are likely to be able to safely and effectively wean from enteral tube feeds and those children who are unlikely to be candidates.

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Please answer the following:

Was the educational content scientifically sound?

If you answered 'No' to the above question, please explain:

Did you perceive any product/service/company/commercial bias in any educational session you attended or materials you received?

If you answered "Yes" to the above question, please detail the situation below (e.g. session title, speaker name):

Were you solicited by sales personnel in an educational room (other areas do not matter) while you attended this educational activity?

If you answered 'Yes' to the above question, please explain in detail (e.g. who, when, where):

What questions have arisen in your practice for which you need answers/strategies that you can implement?

How could this training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?

Additional comments: