PSOC - 2017 Annual Meeting and Scientific Sessions
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Pharmacist
Physician
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What activities did you attend at the event?
Friday, December 1 - 8:00 am - 10:00 am
-- Select an Activity --
PSOC Legal Update
Friday, December 1 - 10:30 am - 12:00 pm
-- Select an Activity --
Chronic Pain After Nerve Injury: Significance, Diagnosis and New Treatments
Friday, December 1 - 1:00 pm - 3:15 pm
-- Select an Activity --
Addiction and Pain Management
Friday, December 1 - 3:45 pm - 6:00 pm
-- Select an Activity --
Pelvic Pain
Saturday, December 2 - 8:30 am - 10:00 am
-- Select an Activity --
Lifestyle and Pain
Saturday, December 2 - 10:30 am - 12:30 pm
-- Select an Activity --
Emerging Therapies
Saturday, December 2 - 1:45 pm - 2:30 pm
-- Select an Activity --
Vagal Nerve Stimulation
Saturday, December 2 - 2:30 pm - 6:00 pm
-- Select an Activity --
The State of Neuromodulation for Pain 2017 An Advanced Pain Session
Pain Management for the APP and PCP
Sunday, December 3 - 8:30 am - 11:30 am
-- Select an Activity --
Interacting with Difficult Patients
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Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
I agree
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PHARMACISTS 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.
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Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.
Excellent
Very Good
Good
Fair
Poor
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Objective 1: Discuss the benefits of emerging therapies in chronic pain treatments.
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
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
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:
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:
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:
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:
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:
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:
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:
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:
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:
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:
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Objective 2: State the changes to federal regulations around use of opioids for pain.
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
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
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Objective 3: Identify options for advanced pain management and issues of addiction.
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.
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
Discuss the legal issues, rules, laws, and guidelines that apply to pain management
Excellent
Very Good
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Define neuropathic pain syndrome.
Excellent
Very Good
Good
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Explain the significance, diagnosis and new treatments for chronic pain after nerve injury
Excellent
Very Good
Good
Fair
Poor
Explain the neurobiology, psychology and treatment of addiction.
Excellent
Very Good
Good
Fair
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Discuss the interface of addiction and pain treatment.
Excellent
Very Good
Good
Fair
Poor
Discuss the medical management of female and male pelvic pain.
Excellent
Very Good
Good
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List surgical treatments for pelvic pain.
Excellent
Very Good
Good
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Describe how to incorporate CBTI as it relates to pain and sleep.
Excellent
Very Good
Good
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Explain how relationships are affected by chronic pain.
Excellent
Very Good
Good
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Discuss non-opioid, novel and emerging options for managing chronic pain
Excellent
Very Good
Good
Fair
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Discuss the novel pain therapeutic technique of vaginal nerve stimulation
Excellent
Very Good
Good
Fair
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Discuss the psychological evaluation for neuromodulation.
Excellent
Very Good
Good
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Define minimally invasive lumbar decompression (MILD).
Excellent
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Discuss peripheral, DRG and dorsal column stimulations.
Excellent
Very Good
Good
Fair
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List non-opioid treatments for neuropathy.
Excellent
Very Good
Good
Fair
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Identify common chronic pain conditions treated by APP’s and PCP’s
Excellent
Very Good
Good
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Discuss when to refer a patient to neurosurgery.
Excellent
Very Good
Good
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Recognize, evaluate and effectively interact with difficult chronic pain patients
Excellent
Very Good
Good
Fair
Poor
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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, situtation):
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Please answer the following:
Do you believe this activity was appropriate for the scope of your professional activities?
Yes
No
N/A
Was the educational content scientifically sound?
Yes
No
N/A
If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?
Yes
No
NA
Was the mode of education effective to 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 education program?
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What specifically did you learn during this activity that you intend to integrate into your practice?
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What content/topics would you liked to see covered in future activities?
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Additional comments:
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