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SOMA - 2024 Scientific Assembly - CAPCE Only
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What activities did you attend at the event?
Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
Participant information (MUST PROVIDE TO RECEIVE CAPCE CREDITS):
State of licensure - enter as two letter state code ONLY
State license number

Type/level of license, if applicable. Select one. 

ACP - Advanced Care Paramedic 

AEMT - Advanced Emergency Medical Technician 

CFR - First Responder (all levels) 

EMR - Emergency Medical Responder 

EMT - Emergency Medical Technician 

EMT-Int - Intermediate (all levels)

EMT-P - Paramedic (all levels) 

PCP - Primary Care Paramedic 

License expiration date (MM/YYYY)
NREMT registration number, if applicable
Next NREMT re-registration date, if applicable
NEMSID, if applicable
Please rate the following:
The program was relevant to my work.
Content matched stated objectives.
Quality of facilities/facility accomodations or website/accessibility if online.
How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
Usefulness of handouts/AV/technology.
If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain in detail (e.g. session title, speaker name, situtation):
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Please rate the speaker(s) of this session as a group. You will have the opportunity to elaborate on an individual speaker in the following question. 
Objective 1: Assess the capability of the SOF Medical Operations and to serve as a Combat Enabler for US Special ‎Operations Forces.‎
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.
The teaching methods used were appropriate to the objectives
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
If you have additional comments regarding the session or individual speaker(s) - e.g. content issues, teaching ability, credentials or expertise, etc. - please use the space below:
Objective 2: Defend the art and science of Special Operations Medicine.‎
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.
The teaching methods used were appropriate to the objectives
Objective 3: Diagram a plan to assist SOF to overcome the challenges of distance, difficult evacuations, immature theaters, and prolonged field ‎care scenarios.‎
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.
The teaching methods used were appropriate to the objectives
Did this program improve your Skill or Strategy in your role or contribution as a member of the healthcare team?
Please explain how, or why not?
Please answer the following:
Was the educational content scientifically sound?
If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?
Was the mode of education effective to learning?
If you answered "No" to any of the above questions, please explain.
Did you perceive any commercial bias or influence in the educational content?
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 area (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):
Do you believe your participation in this activity will positively impact your healthcare team?
Why or why not?
What questions are you having in your practice that you would like to see addressed in an educational activity?

What barriers might you have that would interfere with implementation of new information learned from this training?

How can this training (the overall meeting) be improved to better impact knowledge, strategies/skills, performance and/or patient outcomes?

Additional comments:

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