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COL - Palliative Care: Approaching Challenges, Discovering Crossroads
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How would you like your name to appear on your certificate?



What activities did you attend at the event?
Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
Please rate the following:
The program was relevant to my work.
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):
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Did you attend the session in its entirety?
Objective 1: Describe steps of a palliative care intervention for the end of life patients
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Objective 2: Define the role in geriatrics for palliative care
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Objective 3: Recommend best practices for Palliative Care in the Primary Care Setting
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
Please tell us about any session you found particularly good or bad
Please tell us about any objective you feel we accomplished well or poorly. 
Please tell us about any presenter you found particularly good or bad
Please answer the following:
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?
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 topics would you like to see addressed in future meetings?

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