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National PACE Association 2008 Summer Clinical Conference
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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.

For each objective, rate the statements that follow it.

 

   Describe PACE Preventive Health Guidelines.

        My professional knowledge has increased.

 

Please rate the following on a scale of Strongly Agree to Strongly Disagree.

   Overall quality of the session was high.

Please rate the following on a scale of Strongly Agree to Strongly Disagree.

   Overall quality of the session was high.

Please rate the following on a scale of Strongly Agree to Strongly Disagree.

   Overall quality of the session was high.

Please rate the following on a scale of Strongly Agree to Strongly Disagree.

   Overall quality of the session was high.

Please rate the following on a scale of Strongly Agree to Strongly Disagree.

   Overall quality of the session was high.

Please rate the following on a scale of Strongly Agree to Strongly Disagree.

   Overall quality of the session was high.

Please rate the following on a scale of Strongly Agree to Strongly Disagree.

   Overall quality of the session was high.

Please rate the following on a scale of Strongly Agree to Strongly Disagree.

   Overall quality of the session was high.

        My professional competence will increase.

   The speaker was knowledgeable of his/her subject.

   The speaker was knowledgeable of his/her subject.

   The speaker was knowledgeable of his/her subject.

   The speaker was knowledgeable of his/her subject.

   The speaker was knowledgeable of his/her subject.

   The speaker was knowledgeable of his/her subject.

   The speaker was knowledgeable of his/her subject.

   The speaker was knowledgeable of his/her subject.

        My performance in my professional practice will change.

   The speaker provided relevant and useful information.

   The speaker provided relevant and useful information.

   The speaker provided relevant and useful information.

   The speaker provided relevant and useful information.

   The speaker provided relevant and useful information.

   The speaker provided relevant and useful information.

   The speaker provided relevant and useful information.

   The speaker provided relevant and useful information.

   Develop a framework for disease management in their PACE program using the newly developed PACE CHF Model Practice.

        My professional knowledge has increased.

 

  The speaker communicated in an effective manner.

  The speaker communicated in an effective manner.

  The speaker communicated in an effective manner.

  The speaker communicated in an effective manner.

  The speaker communicated in an effective manner.

  The speaker communicated in an effective manner.

  The speaker communicated in an effective manner.

  The speaker communicated in an effective manner.

        My professional competence will increase.

  I would enjoy hearing this speaker at another NPA conference.

  I would enjoy hearing this speaker at another NPA conference.

  I would enjoy hearing this speaker at another NPA conference.

  I would enjoy hearing this speaker at another NPA conference.

  I would enjoy hearing this speaker at another NPA conference.

  I would enjoy hearing this speaker at another NPA conference.

  I would enjoy hearing this speaker at another NPA conference.

  I would enjoy hearing this speaker at another NPA conference.

        My performance in my professional practice will change.

Please use this space to give us additional comments about the presenter(s).
Please use this space to give us additional comments about the presenter(s).
Please use this space to give us additional comments about the presenter(s).
Please use this space to give us additional comments about the presenter(s).
Please use this space to give us additional comments about the presenter(s).
Please use this space to give us additional comments about the presenter(s).
Please use this space to give us additional comments about the presenter(s).
Please use this space to give us additional comments about the presenter(s).

   Identify key components for the delivery of Palliative Care in the PACE setting and correlating opportunities for PACE to partner with community HOSPICE programs.

        My professional knowledge has increased.

        My professional competence will increase.

        My performance in my professional practice will change.

   Determine local and systemic factors related to preventable or unnecessarily prolonged hospitalizations and discuss the strengths of the PACE model in using alternatives to hospitalization for acute illness.

        My professional knowledge has increased.

 

        My professional competence will increase.

        My performance in my professional practice will change.

Please answer these general questions about the conference.

   The educational sessions gave a balanced view of therapeutic options, including the use of generic names.

    The activity was appropriate for the scope of your professional activities.

   This activity will result in your ability to improve your practice.

   The educational content was scientifically sound.

   The educational content was free from commercial bias.

   If, during the educational session, faculty spoke about off-label uses or an investigational use for a product, was that information disclosed to the audience?

   The mode of education effective to learning?

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 activity?

If you answered "Yes" to the above question, please explain:

What did you learn during this activity that you intend to integrate into your practice?

List any perceived practice "gaps" which you would like addressed in future trainings.

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 be improved to impact your competence or practice?

Please indicate your degree:
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