APPD - 2011 Annual Spring Meeting
How would you like your name to appear on your certificate?
Profession
Select Your Profession
Other
Physician
Next
Agreement
By completing this form, you attest that you have attended the activity in its entirety.
I agree
Previous
Next
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
If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain:
Previous
Next
Objective 1: Describe the basic elements of a QI project and ways in which QI can be integrated into the trainee curriculum.
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my residency program.
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 residency program should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Previous
Next
Objective 2: Explain and list examples of how use of technology can be used to improve education, patient care, evaluation, and efficiency in residency/fellow training programs.
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my residency program.
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 residency program should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Previous
Next
Objective 3: Describe examples and implementation of creative program management in the face of duty hour restrictions, necessitating changes in trainee scheduling, handoffs, and delivery of curriculum.
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my residency program.
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 residency program should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Previous
Next
Objective 4: Describe important faculty development programs and ways to assess faculty development needs at your institution.
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my residency program.
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 residency program should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Previous
Next
Objective 5: Describe the resources and development process for adapting, integrating, and implementing innovative curriculum into residency and fellowship training programs.
By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my residency program.
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 residency program should improve due to the implementation of newly-learned strategies.
Strongly Agree
Agree
I don't know
Disagree
Strongly Disagree
Previous
Next
Please answer the following:
Do you believe this meeting was appropriate for the scope of your role in the residency program?
Yes
No
NA
Was the educational content free from commercial bias?
Yes
No
Was the mode of education effective for learning?
Yes
No
If you answered 'No' to any of the above questions, please explain:
Were you solicited by sales personnel in an educational room while you attended this educational meeting?
Yes
No
NA
If you answered 'Yes' to the above question, please explain:
Previous
Next
What did you learn during this meeting that you intend to integrate into your residency program?
Previous
Next
Please list your suggestions for topics/content for the 2012 meeting.
Previous
Next
List the
top 3
topics or programmatic issues you feel the membership would benefit the most from hearing about at a future meeting.
Previous
Next
What barriers might you have that would interfere with implementation of new information from this training?
Previous
Next
How could
this
meeting be improved?
Previous
Next
What is your profession?
Program Director
Department Chair
Co-Director
Associate Program Director
Med-Peds Program Director
Subspecialty Program Director
"Super" Program Director
Rotation Director
Other
Previous
Next
If "Other," please explain:
Previous
Next
Additional comments:
Previous