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

Profession

Agreement

By completing this form, you attest that you have attended the activity in its entirety.

I agree

This training gave me strategies I could use in my practice or professional activities (professional competence).

I was able to use the strategies from the training to improve my professional performance.

My patient/client outcomes improved due to the implementation of the strategies I acquired at the training.

Have you incorporated the knowledge obtained from the N2U course into your daily practice?

Yes

No

If you answered "Yes" please check all that apply:

Patient care in outpatient clinic setting

Patient care in hospital/inpatient setting

Directed teaching for specific cases (on rounds or in clinic)

Organized didactic sessions or case based presentations

Other

If you answered "Other", please describe:

If yes, who are you sharing the knowledge with? Please check all that apply:

If you answered "Other", please describe:

What challenges have you encountered in sharing the knowledge gained

Lack of time

Lack of specific teaching cases

Lack of detailed notes or handouts from lectures/inability to remember

No interest

Other

If you answered "other" to the above question, please specify:

At your institution, what method would be most impactful to share the knowledge gained from the N2U course?

Noon conference

Didactic sessions

Specific teaching cases

Bedside rounds or during outpatient clinic setting

Other

If you answered "Other", please describe:

My professional performance (implementation of strategies) would be improved if I had training on:

My patient/client outcomes (the result of implemented strategies) would be improved if I had training on:

My professional competence (available strategies) would be improved if I had training on:

Provide your comments and suggestions to further improve your competence, performance and/or your patient/client outcomes in future meetings:

What is your profession:

If you answered "Other" as your profession, please specify: