OH - 17th Annual National Clinical Conference
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Agreement
By completing this form, you attest that you have attended the activity in its entirety.
I agree
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Please rate the following:
The program was relevant to my work.
Excellent
Very Good
Good
Fair
Poor
Content matched stated objectives.
Excellent
Very Good
Good
Fair
Poor
Usefulness of handouts/AV.
Excellent
Very Good
Good
Fair
Poor
Comfort of rooms.
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?
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Very Good
Good
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If you answered any of the above questions with a score of 'Fair' or 'Poor' please explain.
Overall quality of the meeting.
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Very Good
Good
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Objective 1: Examine the impact consumer empowerment and wellness programs have on clinical and financial outcomes.
The above objective has increased my professional knowledge.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
The above objective will increase my professional competence.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
The above objective will result in changes to performance in my professional practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Objective 2: Describe the inegration of medication management as a complement to disease management programs and discuss its potential effects on patient and economic outcomes.
The above objective will result in changes to performance in my professional practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
The above objective has increased my professional knowledge.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
The above objective will increase my professional competence.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Objective 3: Explain the effects of MELD (Model for End-Stage Liver Disease) and post transplant outcomes for patients with hepatocellular carcinoma.
The above objective will increase my professional competence.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
The above objective will result in changes to performance in my professional practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
The above objective has increased my professional knowledge.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Objective 4: Identify the importance of clinical trials on the frontiers of science and discuss the ethical, legal and social issues facing health care today.
The above objective has increased my professional knowledge.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
The above objective will increase my professional competence.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
The above objective will result in changes to performance in my professional practice.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
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Please answer the following questions.
Do you believe this activity was appropriate for the scope of your professional activities?
Yes
No
Do you believe this activity will result in your ability to improve your practice?
Yes
No
Was the educational content scientifically sound?
Yes
No
Was the educational content free from commercial bias?
Yes
No
Was the mode of education effective for learning?
Yes
No
If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?
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 an educational activity?
Yes
No
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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List any perceived practice "gaps" (educational needs/topics) you would like further trainings focused on:
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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 can this training be improved to impact your competence or practice?
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Additional comments:
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