APPD - APPD 2016 Spring Meeting
How would you like your name to appear on your certificate?
Profession
Select Your Profession
Other
Physician
Next
Agreement
By completing this form, you attest that you have attended the activity in its entirety.
I agree
Previous
Next
Please rate the following:
The program was relevant to my work.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Content matched stated objectives.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Usefulness of handouts/AV.
Excellent
Very Good
Good
Fair
Poor
Quality of facilities.
Excellent
Very Good
Good
Fair
Poor
How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
Excellent
Very Good
Good
Fair
Poor
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):
Previous
Next
Objective 1: Discuss strategies for training that are safe, productive and in compliance with the ACGME CLER environment
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my program.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Previous
Next
Objective 2: Promote strategies to enhance the academic productivity of medical educators
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my program.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Previous
Next
Objective 3: Discuss strategies to optimize learner assessment across a variety of training levels
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my program.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Previous
Next
Please answer the following:
Do you believe this activity was appropriate for the scope of your role in the residency/fellowship/Med-Peds program?
Yes
No
NA
Was the educational content scientifically sound?
Yes
No
NA
Was the mode of education effective for learning?
Yes
No
If you answered 'No' to any of the above questions, please explain:
Did you perceive any product/service/company/commercial bias in any educational session you attended or materials you received?
Yes
No
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 room
(other areas do not matter) while you attended this educational activity?
Yes
No
If you answered 'Yes' to the above question, please explain in detail (e.g. who, when, where):
How much did you learn as a result of this educational program?
Great deal
Quite a bit
Some
Very little
Nothing
Previous
Next
What specifically did you learn during this activity that you intend to integrate into your residency/fellowship/Med-Peds program.
Previous
Next
Please list your suggestions for topics/content for the 2016 APPD Fall Meeting.
Previous
Next
List the top 3 topics or programmatic issues you feel the membership would benefit the most from hearing about at a future spring or fall meeting.
Previous
Next
Please indicate your role at your program.
Program Director
Associate Program Director
Department Chair
Fellowship Director
Med-Peds Director
Co-Director
Residency Coordinator
Fellowship Coordinator
DIO
Other
Previous
Next
If you answered "Other" as your profession, please describe:
Previous
Next
What barriers might you have that would interfere with implementation of new information learned from this training?
Previous
Next
How could this meeting have been improved?
Previous
Next
If you required any Americans with Disabilities Act accommodations, how well were they handled?
Excellent
Very Good
Good
Fair
Poor
Previous
Next
Additional comments:
Previous