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GMH - End of Life Issues in Patients with Psychiatric Disorders
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How would you like your name to appear on your certificate?



How many credit hours did you complete?
Agreement
By completing this form, you attest that you have attended the number of hours you have indicated above.
Please rate the following:
The program was relevant to my work.
Usefulness of handouts/AV/technology.
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?
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, situation):
Faculty Evaluation:
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. 
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:
Were the following objectives met?
Describe and discuss the nature and causes of hastened death in patients with psychiatric disorders.
Were the following objectives met?
Distinguish and describe the difference between “dying with a psychiatric disorder” from “dying from a psychiatric disorder.”
Were the following objectives met?
Describe the characteristics of a “good death” and the factors that make it less likely that patients with psychiatric disorders will experience a “good death” compared to others in the community
If you disagreed, please tell us why:
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 resonded "No" to any of the preceding questions, please explain why:
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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