SNIS - SNIS Past President’s Case Panel
How would you like your name to appear on your certificate?
Profession
Select Your Profession
Physician
Nurse Practitioner
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How many credit hours did you complete?
Credit Hours (maximum: 1.0)
Agreement
By completing this form, you attest that you have attended the number of hours you have indicated above.
I agree
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Was the educational content of value to you?
Very Valuable
Somewhat Valuable
Not at all Valuable
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Was the educational content scientifically sound?
Yes
No
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If no, Tell us how...
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Did you perceive any commercial bias or influence in the educational content?
Yes
No
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If yes, what...
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Did this program improve your Skill or Strategy in your role or contribution as a member of the healthcare team?
Yes
No
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If no, why not?
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Do you believe your participation in this activity will positively impact your healthcare team?
Yes
No
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If yes, tell us how... Or if no, tell us why not...
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Do you think what you learned will benefit you in your practice?
Yes
No
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If yes, how...
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Tell us how well or poorly we met any of the educational objectives:
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What questions are you having in your practice that you would like to see addressed in an educational activity?
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What barriers might you have that would interfere with implementation of new information learned from this training?
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How can this training (the overall meeting) be improved to better impact knowledge, strategies/skills, performance and/or patient outcomes?
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Tell us what was good or bad about any part of the educational activity, content, speakers, materials, anything at all.
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