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SYMPOSIUM EVALUATION FORM
Your feedback provides us with vital information that assists in the development of future educational initiatives.
Thank you for completing the evaluation form.
Learning Objectives
Using a scale of poor to excellent, please indicate your level of confidence in the learning objective as it relates to your knowledge, belief, or behavior, pre-program and post-program.
Describe the physiology of glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide 1 (GLP-1)
Poor
Fair
Good
Very Good
Excellent
Before
Poor
Fair
Good
Very Good
Excellent
After
Poor
Fair
Good
Very Good
Excellent
Summarize the efficacy of dual GIP/GLP-1 receptor agonist therapy
Poor
Fair
Good
Very Good
Excellent
Before
Poor
Fair
Good
Very Good
Excellent
After
Poor
Fair
Good
Very Good
Excellent
Discuss the safety and practical application of dual GIP/GLP-1 receptor agonist therapy
Poor
Fair
Good
Very Good
Excellent
Before
Poor
Fair
Good
Very Good
Excellent
After
Poor
Fair
Good
Very Good
Excellent
Presentations
Please indicate the level of clarity and effectiveness of the information presented by the speakers:
Poor
Fair
Good
Very Good
Excellent
Dr. Alice Cheng (Chair)
Poor
Fair
Good
Very Good
Excellent
Dr. Richard Dumas
Poor
Fair
Good
Very Good
Excellent
Dr. Julie Lovshin
Poor
Fair
Good
Very Good
Excellent
Dr. Dan Ngui
Poor
Fair
Good
Very Good
Excellent
Educational Deliverables
Please indicate your response to the questions below by applying the following scale:
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The program met my educational expectations
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The information provided will contribute to the care of my patients
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
This program allowed adequate time for interaction (min 25% of the session)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The subject was relevant to my practice
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Disclosure of potential conflicts of interest was clearly communicated by all speakers
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The program was well organized
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Were there any topics you think should have been addressed and/or more carefully covered?
From what you have learned, what will you be able to apply to your practice? And what are the potential barriers?
Impact on my practice and key learnings that I will apply:
Potential barriers and solutions to overcome them:
Please indicate which CanMEDS role(s) you felt were addressed during this educational activity. Check all that apply:
Medical Expert
Scholar
Collaborator
Communicator
Manager
Professional
Health Advocate
Additional Feedback
The educational content of the program was balanced and free of commercial or other inappropriate bias.
Yes
No
If no, please explain why:
Please list any topics you would recommend for future programs:
Please share any additional comments:
Thank you!