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Osteopathic Physician Symposium 2012 Participant Evaluation - CMEI-015
Questions marked with an * asterisk require a response.
*
1
. Please indicate your professional status.
Please indicate your professional status.
Practicing Physician
Resident
Medical Student
Other (please specify)
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2
. Was this activity fair, balanced, and free from commercial bias?
Was this activity fair, balanced, and free from commercial bias?
Yes
No (please explain)
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3
. The learning objectives for this activity were met.
The learning objectives for this activity were met.
Yes
No (please explain why not)
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4
. Natasha Bray, DO
Excellent
Very Good
Good
Fair
Poor
Knowledge of Subject Matter
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Natasha Bray, DO Knowledge of Subject Matter Excellent
Knowledge of Subject Matter Very Good
Knowledge of Subject Matter Good
Knowledge of Subject Matter Fair
Knowledge of Subject Matter Poor
Presentation Skills
Presentation Skills Excellent
Presentation Skills Very Good
Presentation Skills Good
Presentation Skills Fair
Presentation Skills Poor
Practicality of Presentation
Practicality of Presentation Excellent
Practicality of Presentation Very Good
Practicality of Presentation Good
Practicality of Presentation Fair
Practicality of Presentation Poor
Audio Visual Quality
Audio Visual Quality Excellent
Audio Visual Quality Very Good
Audio Visual Quality Good
Audio Visual Quality Fair
Audio Visual Quality Poor
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5
. Anthony Silvagni, DO, PharmD, MSc, FACOFP
Excellent
Very Good
Good
Fair
Poor
Knowledge of Subject Matter
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Anthony Silvagni, DO, PharmD, MSc, FACOFP Knowledge of Subject Matter Excellent
Knowledge of Subject Matter Very Good
Knowledge of Subject Matter Good
Knowledge of Subject Matter Fair
Knowledge of Subject Matter Poor
Presentation Skills
Presentation Skills Excellent
Presentation Skills Very Good
Presentation Skills Good
Presentation Skills Fair
Presentation Skills Poor
Practicality of Presentation
Practicality of Presentation Excellent
Practicality of Presentation Very Good
Practicality of Presentation Good
Practicality of Presentation Fair
Practicality of Presentation Poor
Audio Visual Quality
Audio Visual Quality Excellent
Audio Visual Quality Very Good
Audio Visual Quality Good
Audio Visual Quality Fair
Audio Visual Quality Poor
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6
. Harold L. Dalton, DO, FAAPM&R, DABPM
Excellent
Very Good
Good
Fair
Poor
Knowledge of Subject Matter
*
Harold L. Dalton, DO, FAAPM&R, DABPM Knowledge of Subject Matter Excellent
Knowledge of Subject Matter Very Good
Knowledge of Subject Matter Good
Knowledge of Subject Matter Fair
Knowledge of Subject Matter Poor
Presentation Skills
Presentation Skills Excellent
Presentation Skills Very Good
Presentation Skills Good
Presentation Skills Fair
Presentation Skills Poor
Practicality of Presentation
Practicality of Presentation Excellent
Practicality of Presentation Very Good
Practicality of Presentation Good
Practicality of Presentation Fair
Practicality of Presentation Poor
Audio Visual Quality
Audio Visual Quality Excellent
Audio Visual Quality Very Good
Audio Visual Quality Good
Audio Visual Quality Fair
Audio Visual Quality Poor
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7
. Robert Hasty, DO, FACOI
Excellent
Very Good
Good
Fair
Poor
Knowledge of Subject Matter
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Robert Hasty, DO, FACOI Knowledge of Subject Matter Excellent
Knowledge of Subject Matter Very Good
Knowledge of Subject Matter Good
Knowledge of Subject Matter Fair
Knowledge of Subject Matter Poor
Presentation Skills
Presentation Skills Excellent
Presentation Skills Very Good
Presentation Skills Good
Presentation Skills Fair
Presentation Skills Poor
Practicality of Presentation
Practicality of Presentation Excellent
Practicality of Presentation Very Good
Practicality of Presentation Good
Practicality of Presentation Fair
Practicality of Presentation Poor
Audio Visual Quality
Audio Visual Quality Excellent
Audio Visual Quality Very Good
Audio Visual Quality Good
Audio Visual Quality Fair
Audio Visual Quality Poor
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8
. Indicate the degree to which the content of this activity provided you with knowledge or skills to implement in your practice.
Excellent
Very Good
Good
Fair
Poor
Content Effectiveness
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Indicate the degree to which the content of this activity provided you with knowledge or skills to implement in your practice. Content Effectiveness Excellent
Content Effectiveness Very Good
Content Effectiveness Good
Content Effectiveness Fair
Content Effectiveness Poor
9
. State a practice change you are committed to make as a result of participating in this activity.
State a practice change you are committed to make as a result of participating in this activity.
10
. State potential barriers that may occur which prevent the practice change
State potential barriers that may occur which prevent the practice change
11
. List any topics that are of interest to you for future educational activities
List any topics that are of interest to you for future educational activities
12
. Additional Comments
Additional Comments
13
. What is your preferred method for being informed of CME events?
What is your preferred method for being informed of CME events?
Email
Website with Calendar Listing
Other (please describe)
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