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Evaluation
Continuing Medical Education Evaluation
Sam Turner
2020-08-05T14:43:28-06:00
Burrell College of Osteopathic Medicine
Spring Regional Conference 2020
Evaluation
SAVE THE DATE | June 26, 2020 1:00pm – 5:00pm
General Evaluation
Are you an: DO, MD, or advanced practice provider (PA, CRNA, NP, etc.)
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Rate your overall satisfaction with this CME Activity.
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Strongly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Strongly dissatisfied
N/A
This CME activity met you educational expectations.
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Strongly agree
Somewhat agree
Neutral
Somewhat disagree
Strongly disagree
N/A
Your knowledge and skill will be enhanced by your participation in this CME activity.
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Strongly agree
Somewhat agree
Neutral
Somewhat disagree
Strongly disagree
N/A
This activity objectives were met as outlined.
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Strongly agree
Somewhat agree
Neutral
Somewhat disagree
Strongly disagree
N/A
Which of the following competency areas do you feel have been improved by this activity, if any?
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Patient Care
Medical Knowledge
Practice-Based Learning and Improvement
Interpersonal Communication Skills
Professionalism
Systems-Based Practice
N/A
Do you feel that the information, commercial product, device or service was inappropriately promoted or contained commercial bias in this educational content?
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Yes (please comment below)
No
If yes, please explain:
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Do you feel this activity could improve your: Competence? Performance? Patient Outcomes? Practice Behavior? If so, what?
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Yes
No (please comment below)
If no, please explain:
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Please list topics that you would like presented at future conferences and any comments:
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Speaker Evaluation
Friday, June 26, 2020
The Emergence of SARS-CoV-2 the cause of the COVID-19 Pandemic - Deborah Bramblett, PhD
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Poor
Fair
Average
Good
Excellent
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Overall
Presentation
Content
Audiovisual
Objectives Met
Comments:
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The Emergence of SARS-CoV-2 the cause of the COVID-19 Pandemic - Michael Woods, PhD
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Poor
Fair
Average
Good
Excelent
N/A
Overall
Presentation
Content
Audiovisual
Objectives Met
Comments:
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Osteopathic Clinical Approach to Disease - Adrienne Kania, DO
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Poor
Fair
Average
Good
Excellent
N/A
Overall
Presentation
Content
Audiovisual
Objectives Met
Comments:
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Native American Health and Healthcare - Adela Lente, MD
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Poor
Fair
Average
Good
Excellent
N/A
Overall
Presentation
Content
Audiovisual
Objectives Met
Comments:
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Border Medicine in 2020: Challenges and Changes - Leah Swift, DO
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Poor
Fair
Average
Good
Excellent
N/A
Overall
Presentation
Content
Audiovisual
Objectives Met
Comments:
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The AOA & AMA require physicians to designate the actual number of course hours attended in order to obtain CME credit. Each physician should claim only those hours that he/she actually spent in this educational activity.
Designate CME Hours:
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AOA
AMA
Please provide your AOA Number:
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Please enter 0 for the 1-A CME Hours if you did not participate in the section:
The Emergence of SARS-CoV-2 the cause of the COVID-19 Pandemic 1-A CME Hour(s):
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Osteopathic Clinical Approach to Disease 1-A CME Hour(s):
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Native American Health and Healthcare 1-A CME Hour(s):
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Border Medicine in 2020: Challenges and Changes 1-A CME Hour(s):
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Total Hours:
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By signing this attestation, you attest you have accurately accounted for the CME hours attended during this conference.
(Survey will be open for 1 week post conference and CME certificates will be emailed to you)
Signature:
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