TOU - Behavior Therapy Institute 5.3.19
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Psychologist
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How many credit hours did you complete?
Credit Hours (maximum: 13.0)
Agreement
By completing this form, you attest that you have attended the number of hours you have indicated above.
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Objective 1: Identify tic disorders, differentially diagnose from other common conditions
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 2: Understand the scope and efficacy of pharmacological, surgical and other treatment options for TS
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: Administer, score and interpret TS-spcific assessments (YGTSS, PTQ, PUTS scales)
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 4: Outline overall structure, state a rationale for CBIT, create tic hierarchy, create inconvenience review
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 5: Conduct Functional Assessment, Practice function-based treatment, Practiced Abbreviated Relaxation Training, Practice HRT
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 6: Practice HRT, Conduct Competing Response Training, Simulation of HRT, Conduct social support training
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 7: Present TS case to group,Conduct Tic Hierarchy and prioritize treatment, conduct response description
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 8: Conduct response detection + early warning training, select competing response, demonstrate, functional assessment
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
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 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
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Objective 9: Discuss CBIT reimbursement, how to develop referral network, how to communicate with TS patients
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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Please rate the conference questions below.
The program was up-to-date and relevant to my professional practice.
Yes
No
The location was suitable.
Yes
No
The facilities were conducive to learning.
Yes
No
Instructors were knowledgeable about the content.
Yes
No
Instructors presented the subject matter clearly.
Yes
No
Instructors were responsive.
Yes
No
Instructor used technology, hand outs and other learning aids effectively.
Yes
No
Additional questions about the instructor(s)
Please rate your satisfaction with the content and quality of the program.
Very Satisfied
Satisfied
Somewhat Satisfied
Neurtal
Somewhat Dissatisfied
Dissatisfied
Very Dissatisfied
Was the educational content scientifically sound?
Yes
No
If no, please explain...
Did you receive any commercial bias or influence in the educational content?
Yes
No
If yes, what...
Did this program improve your competence or performance?
Yes
No
If yes, how...
If no, please explain...
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Please rate the following
Please rate your satisfaction with the content and quality of the program
Very Satisfied
Satisfied
Somewhat Satisfied
Neurtal
Somewhat Dissatisfied
Dissatisfied
Very Dissatisfied
Was the educatinoal content scientifically sound?Â
Yes
No
If no, please explain...
Did you perceive any commercial bias or influence in the educational content?
Yes
No
If yes, what...
Did this program improve your competence or performance?
Yes
No
If yes, how...
If no, please explain...
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What did you learn that will help you in your practice?
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What questions are you having in your practice that you would like to see addreessed in an educational activity?
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Questions, concerns and accomdations were addressed efficiently and in a timely manner.
Yes
No
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Additional comments.
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