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

Please rate the following:

Content matched stated objectives.

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):

Objective 1: Understand the current literature on psychosocial functioning in pediatric IBD

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

Objective 2: Describe treatment options for psychosocial functioning

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

Objective 3: Learn clinical recommendations for pediatric gastroenterologists working with patients with psychosocial concerns

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

This activity met the aforementioned learning objectives

This activity was free from commercial bias

How much did you learn as a result of this educational program?

What questions have arisen in your practice for which you need answers/strategies that you can implement?

What problems are your patients/clients communicating to you that need attention or follow-up?

Are you interested in basic, intermediate or advanced level trainings?

Basic

Intermediate

Advanced

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

How could this training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?

Additional comments: