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

Profession

What activities did you attend at the event?

Pharmacist - Select this one

Pharmacy Technician - Select this one

Agreement

By completing this form, you attest that you have participated in all selected activities in thier entirety.

I agree

PHARMACISTS AND PHARMACY TECHNICIANS ONLY -- Please provide the following:

NABP eProfile ID (ePID):

Date of Birth (MM/DD) - Example September 24 would be 0924:

Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.

If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:

Having completed the activity, please rate your ability to meet each of the following objectives:

Describe how medical cannabis has been used in pharmacy practice

State the basic mechanism of action of cannabinoids

Recall the laws relating to medical marijuana in Pennsylvania and how they differ from federal law

Examine the history of medical cannabis

Examine the pathophysiology of cannabis

Describe the scope of Pennsylvania Medical Marijuana Act 16 and the conflict between marijuana's state and federal status

Describe the regulations in Pennsylvania for dispensing medical cannabis

Describe Pennsylvania regulatory framework for grower processors, dispensaries and prescribers

Please rate the following:

The program was relevant to my work.

Content matched stated objectives.

Usefulness of handouts/AV.

Quality of facilities.

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, situtation):

Do you believe this activity was appropriate for the scope of your professional activities?

Was the educational content scientifically sound?

If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?

Was the mode of education effective to learning?

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?

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?

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 education program?

What specifically did you learn during this activity that you intend to integrate into your practice?

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

What patient/client problems or patient/client challenges do you feel you are not able to address appropriately or to your satisfaction?

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

Additional comments: