2015 Oncology Training Program Directors' Retreat Feedback Form

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* 1. After participation in Thursday’s activity, how likely are you to make changes in the following areas? (If you didn’t attend Thursday sessions, please skip to question 2.)

	Very Likely	Likely	Unlikely	Very Unlikely	Not Applicable
Implementing the concepts of Adult Learning Theory into my teaching	Implementing the concepts of Adult Learning Theory into my teaching Very Likely	Implementing the concepts of Adult Learning Theory into my teaching Likely	Implementing the concepts of Adult Learning Theory into my teaching Unlikely	Implementing the concepts of Adult Learning Theory into my teaching Very Unlikely	Implementing the concepts of Adult Learning Theory into my teaching Not Applicable
Employing effective presentation skills when talking to a live audience	Employing effective presentation skills when talking to a live audience Very Likely	Employing effective presentation skills when talking to a live audience Likely	Employing effective presentation skills when talking to a live audience Unlikely	Employing effective presentation skills when talking to a live audience Very Unlikely	Employing effective presentation skills when talking to a live audience Not Applicable

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* 2. After participation in Friday’s activities, how likely are you to make changes in the following areas?

	Very Likely	Likley	Unlikely	Very Unlikely	Not Applicable
Integrating social media into my work with fellows	Integrating social media into my work with fellows Very Likely	Integrating social media into my work with fellows Likley	Integrating social media into my work with fellows Unlikely	Integrating social media into my work with fellows Very Unlikely	Integrating social media into my work with fellows Not Applicable
Using In-Training Exam results to better prepare my fellows for certification exams	Using In-Training Exam results to better prepare my fellows for certification exams Very Likely	Using In-Training Exam results to better prepare my fellows for certification exams Likley	Using In-Training Exam results to better prepare my fellows for certification exams Unlikely	Using In-Training Exam results to better prepare my fellows for certification exams Very Unlikely	Using In-Training Exam results to better prepare my fellows for certification exams Not Applicable
Using EHR to enhance quality improvement within my program	Using EHR to enhance quality improvement within my program Very Likely	Using EHR to enhance quality improvement within my program Likley	Using EHR to enhance quality improvement within my program Unlikely	Using EHR to enhance quality improvement within my program Very Unlikely	Using EHR to enhance quality improvement within my program Not Applicable
Providing tools for self-care and wellness to my fellows	Providing tools for self-care and wellness to my fellows Very Likely	Providing tools for self-care and wellness to my fellows Likley	Providing tools for self-care and wellness to my fellows Unlikely	Providing tools for self-care and wellness to my fellows Very Unlikely	Providing tools for self-care and wellness to my fellows Not Applicable
Implementing feedback and improvement tools with trainees	Implementing feedback and improvement tools with trainees Very Likely	Implementing feedback and improvement tools with trainees Likley	Implementing feedback and improvement tools with trainees Unlikely	Implementing feedback and improvement tools with trainees Very Unlikely	Implementing feedback and improvement tools with trainees Not Applicable
Sharing best practices with other training programs and academic centers	Sharing best practices with other training programs and academic centers Very Likely	Sharing best practices with other training programs and academic centers Likley	Sharing best practices with other training programs and academic centers Unlikely	Sharing best practices with other training programs and academic centers Very Unlikely	Sharing best practices with other training programs and academic centers Not Applicable

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* 3. Based on the educational content delivered during Friday’s sessions, please rank the top five sessions in order of the session that will be the MOST helpful in your work to the session that will be the LEAST helpful in your work. A value of 1 represents the MOST valuable session. If you attended fewer than five sessions, you may select fewer than five sessions.

	1	2	3	4	5	6	7	8
Quality Improvement & Patient Safety	Quality Improvement & Patient Safety 1	Quality Improvement & Patient Safety 2	Quality Improvement & Patient Safety 3	Quality Improvement & Patient Safety 4	Quality Improvement & Patient Safety 5	Quality Improvement & Patient Safety 6	Quality Improvement & Patient Safety 7	Quality Improvement & Patient Safety 8
Teaching Quality Use of the Electronic Health Record	Teaching Quality Use of the Electronic Health Record 1	Teaching Quality Use of the Electronic Health Record 2	Teaching Quality Use of the Electronic Health Record 3	Teaching Quality Use of the Electronic Health Record 4	Teaching Quality Use of the Electronic Health Record 5	Teaching Quality Use of the Electronic Health Record 6	Teaching Quality Use of the Electronic Health Record 7	Teaching Quality Use of the Electronic Health Record 8
“Open Mic”: Request Help and Share Solutions	“Open Mic”: Request Help and Share Solutions 1	“Open Mic”: Request Help and Share Solutions 2	“Open Mic”: Request Help and Share Solutions 3	“Open Mic”: Request Help and Share Solutions 4	“Open Mic”: Request Help and Share Solutions 5	“Open Mic”: Request Help and Share Solutions 6	“Open Mic”: Request Help and Share Solutions 7	“Open Mic”: Request Help and Share Solutions 8
Power Best Practices – Board Prep: Our approach to the ASCO & ASH in-service exams	Power Best Practices – Board Prep: Our approach to the ASCO & ASH in-service exams 1	Power Best Practices – Board Prep: Our approach to the ASCO & ASH in-service exams 2	Power Best Practices – Board Prep: Our approach to the ASCO & ASH in-service exams 3	Power Best Practices – Board Prep: Our approach to the ASCO & ASH in-service exams 4	Power Best Practices – Board Prep: Our approach to the ASCO & ASH in-service exams 5	Power Best Practices – Board Prep: Our approach to the ASCO & ASH in-service exams 6	Power Best Practices – Board Prep: Our approach to the ASCO & ASH in-service exams 7	Power Best Practices – Board Prep: Our approach to the ASCO & ASH in-service exams 8
Power Best Practices – Educational Opportunities Using Social Media	Power Best Practices – Educational Opportunities Using Social Media 1	Power Best Practices – Educational Opportunities Using Social Media 2	Power Best Practices – Educational Opportunities Using Social Media 3	Power Best Practices – Educational Opportunities Using Social Media 4	Power Best Practices – Educational Opportunities Using Social Media 5	Power Best Practices – Educational Opportunities Using Social Media 6	Power Best Practices – Educational Opportunities Using Social Media 7	Power Best Practices – Educational Opportunities Using Social Media 8
Program Directors: How to Advocate for Yourself	Program Directors: How to Advocate for Yourself 1	Program Directors: How to Advocate for Yourself 2	Program Directors: How to Advocate for Yourself 3	Program Directors: How to Advocate for Yourself 4	Program Directors: How to Advocate for Yourself 5	Program Directors: How to Advocate for Yourself 6	Program Directors: How to Advocate for Yourself 7	Program Directors: How to Advocate for Yourself 8
Physician Wellness	Physician Wellness 1	Physician Wellness 2	Physician Wellness 3	Physician Wellness 4	Physician Wellness 5	Physician Wellness 6	Physician Wellness 7	Physician Wellness 8
What Keeps Us Up at Night	What Keeps Us Up at Night 1	What Keeps Us Up at Night 2	What Keeps Us Up at Night 3	What Keeps Us Up at Night 4	What Keeps Us Up at Night 5	What Keeps Us Up at Night 6	What Keeps Us Up at Night 7	What Keeps Us Up at Night 8

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* 4. What motivated you to attend the Program Directors' Retreat? Select all that apply.

Educational Content

Format

Speaker Selection

Interactivity

Networking Opportunities

Other (please explain)

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* 5. How satisfied were you with the following elements of the Retreat?

	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied
Thursday’s Session Content	Thursday’s Session Content Very Satisfied	Thursday’s Session Content Satisfied	Thursday’s Session Content Dissatisfied	Thursday’s Session Content Very Dissatisfied
Thursday’s Format	Thursday’s Format Very Satisfied	Thursday’s Format Satisfied	Thursday’s Format Dissatisfied	Thursday’s Format Very Dissatisfied
Friday’s Session Content	Friday’s Session Content Very Satisfied	Friday’s Session Content Satisfied	Friday’s Session Content Dissatisfied	Friday’s Session Content Very Dissatisfied
Friday’s Format	Friday’s Format Very Satisfied	Friday’s Format Satisfied	Friday’s Format Dissatisfied	Friday’s Format Very Dissatisfied
Speaker Selection	Speaker Selection Very Satisfied	Speaker Selection Satisfied	Speaker Selection Dissatisfied	Speaker Selection Very Dissatisfied
Sessions Interactivity	Sessions Interactivity Very Satisfied	Sessions Interactivity Satisfied	Sessions Interactivity Dissatisfied	Sessions Interactivity Very Dissatisfied
Networking Opportunities	Networking Opportunities Very Satisfied	Networking Opportunities Satisfied	Networking Opportunities Dissatisfied	Networking Opportunities Very Dissatisfied

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* 6. If you were dissatisfied with any elements of the Retreat, please explain what we can do to improve in the future.

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* 7. Please indicate you agreement with the following:

	Strongly Agree	Agree	Disagree	Strongly Disagree
Thursday’s Retreat sessions should be open to physicians other than Program Directors that are interested in further	Thursday’s Retreat sessions should be open to physicians other than Program Directors that are interested in further Strongly Agree	Thursday’s Retreat sessions should be open to physicians other than Program Directors that are interested in further Agree	Thursday’s Retreat sessions should be open to physicians other than Program Directors that are interested in further Disagree	Thursday’s Retreat sessions should be open to physicians other than Program Directors that are interested in further Strongly Disagree
The Program Coordinator lunch (Friday) should be continued in the future	The Program Coordinator lunch (Friday) should be continued in the future Strongly Agree	The Program Coordinator lunch (Friday) should be continued in the future Agree	The Program Coordinator lunch (Friday) should be continued in the future Disagree	The Program Coordinator lunch (Friday) should be continued in the future Strongly Disagree

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* 8. Did you attend the Mentor Dinner?

Yes

No