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TOU - Behavior Therapy Institute 3.7.20
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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.
The instructor was knowledgeable about the content
The instructor was knowledgeable about the content
The instructor was knowledgeable about the content
The instructor was knowledgeable about the content
The instructor was knowledgeable about the content
The instructor was knowledgeable about the content
The instructor was knowledgeable about the content
The instructor was knowledgeable about the content
The instructor was knowledgeable about the content
Objective 1: Learn about TS, common comorbidities and the general strategy for treating TS.
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.
The teaching methods used were appropriate to the objectives
The instructor presented the subject matter clearly
The instructor presented the subject matter clearly
The instructor presented the subject matter clearly
The instructor presented the subject matter clearly
The instructor presented the subject matter clearly
The instructor presented the subject matter clearly
The instructor presented the subject matter clearly
The instructor presented the subject matter clearly
The instructor presented the subject matter clearly
Objective 2: Learn about the behavioral model on which CBIT is based, and the assessment tools used to gauge treatment progress.
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.
The teaching methods used were appropriate to the objectives
The instructor was responsive to participants
The instructor was responsive to participants
The instructor was responsive to participants
The instructor was responsive to participants
The instructor was responsive to participants
The instructor was responsive to participants
The instructor was responsive to participants
The instructor was responsive to participants
The instructor was responsive to participants
The instructor used technology effectively
Discuss CBIT reimbursement, how to develop referral network, how to communicate with TS patients
Identify tic disorders, differentially diagnose from other common conditions
The instructor used technology effectively
Discuss CBIT reimbursement, how to develop referral network, how to communicate with TS patients
Understand the scope and efficacy of pharmacological, surgical and other treatment options for TS
The instructor used technology effectively
Discuss CBIT reimbursement, how to develop referral network, how to communicate with TS patients
Administer, score and interpret TS-spcific assessments (YGTSS, PTQ, PUTS scales)
The instructor used technology effectively
Discuss CBIT reimbursement, how to develop referral network, how to communicate with TS patients
Outline overall structure, state a rationale for CBIT, create tic hierarchy, create inconvenience review
The instructor used technology effectively
Discuss CBIT reimbursement, how to develop referral network, how to communicate with TS patients
Conduct Functional Assessment, Practice function-based treatment, Practiced Abbreviated Relaxation Training, Practice HRT
The instructor used technology effectively
Discuss CBIT reimbursement, how to develop referral network, how to communicate with TS patients
Practice HRT, Conduct Competing Response Training, Simulation of HRT, Conduct social support training
The instructor used technology effectively
Discuss CBIT reimbursement, how to develop referral network, how to communicate with TS patients
Present TS case to group,Conduct Tic Hierarchy and prioritize treatment, conduct response description
The instructor used technology effectively
Discuss CBIT reimbursement, how to develop referral network, how to communicate with TS patients
Conduct response detection + early warning training, select competing response, demonstrate, functional assessment
The instructor used technology effectively
Discuss CBIT reimbursement, how to develop referral network, how to communicate with TS patients
Discuss CBIT reimbursement, how to develop referral network, how to communicate with TS patients
The teaching methods used were appropriate to the objectives
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
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 professional competence will increase because I have acquired new strategies to use in my practice.
Objective 4: Learn through didactic presentation, live demonstration and role play how to impelement the primary components of HRT.
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.
The teaching methods used were appropriate to the objectives
Objective 5: Present a patient as well as a plan for implementing treatment and assessing improvement.
The teaching methods used were appropriate to the objectives
By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.
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 professional competence will increase because I have acquired new strategies to use in my practice.
Please rate the following:
The program was relevant to my work.
Content matched stated objectives.
Usefulness of handouts/AV.
Quality of facilities and facility accommodations.
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):
Please tell us about any sessions you found particularly good or bad
Please tell us about any objectives you feel we accomplished well or poorly 
Please tell us about any presenters 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?
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?

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:

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