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Institute for Healthcare Communication - The Empathy Effect: Countering Bias to Improve Health Outcomes
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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.
Since attending the IHC workshop, I have used "Technique 1" listed in attached form...
Since attending the IHC workshop, I have used "Technique 2" listed in attached form...
Please check the following impacts that you believe resulted from your participation in the workshop and from your use of these techniques in practice (check all that apply):
If other impacts, not listed above, resulted from participation in the workshop, please describe: 
Tell us what we should include in future CE workshops to improve your confidence and competence communicating with patients, and/or staff and colleagues. (Check all that apply)

For all areas selected above, please specify your suggestions here.

Please select your profession(s):

If your profession was not listed above, please list is here:
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