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2018 Southern Region Burn Conference - CME Credit Form and Evaluations
Overall Activity Evaluation
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1.
Rank the overall value.
(Required.)
No value
1 star
2 stars
Some value
3 stars
4 stars
GREAT value!
5 stars
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2.
Rate the overall aspects of this educational activity, on the basis of:
(Required.)
Poor
Fair
Good
Excellent
Quality of Educational Content
Poor
Fair
Good
Excellent
Met Learning Objectives
Poor
Fair
Good
Excellent
Relevance/Applicability to Practice
Poor
Fair
Good
Excellent
Quality of Presenters
Poor
Fair
Good
Excellent
Selection of Topics
Poor
Fair
Good
Excellent
3.
As a result of my participation, the most likely change/new strategy I will implement in my practice is (select all that apply):
Modify treatment plans
Change my screening and prevention practice
Incorporate different diagnosis strategies into patient evaluation
Use alternative communication methodologies with patients and families
Implement new documentation procedures to improve efficiency and accuracy of business practice
Use systems-based resources for improved quality of care
Improve the structure and operations of my practice to address healthcare reform cost containment and other regulatory issues
None - This activity validated current practices
Other (please specify)
4.
Of the patients you encounter weekly, what is the average number who may be affected by the content presented?
0-25
25-50
50-100
100+
Not applicable
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5.
Did you perceive commercial bias or influence?
(Required.)
Yes
No
If yes, please provide detail including the name and situation.
6.
General Comments - Anything Else You Wish to Tell Us.
