Grand Rounds/Special Events Evaluation

Evaluation submission is open 10 minutes prior to event ending and 5 minutes after program ends. Evaluations are reviewed by date and time to indicate which program you attended.

If you do not submit an evaluation within that time frame you will not be awarded credit.
Name: 


A red asterisk (*) indicates required questions.

  1. Required for Credit: Type of Credit you are requesting*
    AMA PRA CATEGORY 1 (CME)
    I DO NOT REQUIRE CREDIT


  1. WERE THE PERFORMANCE EXPECTATIONS MET?
    1 = Poor; 2 = Fair; 3 = Good; 4 = Very Good; 5 = Excellent


    1 2 3 4 5   No Opinion
     


  1. HOW WAS THE SPEAKERS OVERALL KNOWLEDGE & PRESENTATION?
    1 = Poor; 2 = Fair; 3 = Good; 4 = Very Good; 5 = Excellent


    1 2 3 4 5   No Opinion
     


  1. AS A RESULT OF PROGRAM, MY PRACTICE MAY ALTER BY:
    A- DIAGNOSTIC EVALUATION IMPROVEMENT.
    B- THERAPEUTIC APPROACHES.
    C- SURGICAL TECHNIQUE VARIATIONS.
    D- COMMUNICATION SKILL IMPROVEMENTS.
    E- USE OF INFORMATICS.
    F- EVIDENCE BASED DATA USE.
    G- PRACTICE PERFORMANCE BENEFIT.
    H- REVIEWING PATIENT SAFETY ISSUES.


  1. PLEASE LIST TWO NEW INSIGHTS/ CONCEPTS YOU GAINED FROM TODAY’S PRESENTATION.


  1. PLEASE LIST TWO SUGGESTIONS FOR FUTURE CME ACTIVITIES.




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