The Critical Role of Pediatric Clinicians in Achieving Best Practices in Atopic Dermatitis Assessment, Management, and Referral Evaluation (ID: i806a-2) Survey

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* 3. Please select the option that best describes your practice setting.

Academic medical center

Community hospital or medical center

VA, DOD, or other government

Managed care

Research

Pharmaceutical industry

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* 4. How many years have you been in practice?

1-10

11-20

≥21

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* 5. How many of your patients with AD do you manage per week?

1 to 10

11 to 25

26 to 50

I am not directly involved in patient care

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* 6. Following your participation in this activity, how confident are you in the management of patients with AD in your practice?

Very confident

Confident

Neutral

Little confidence

No confidence

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* 7. Which new strategies/skills/information will you apply to your area of practice? Please select all that apply.

The ability to accurately assess disease severity in pediatric patients with AD

Improved skill in recognizing patients with AD who require evaluation and/or referral for specialist care

Knowledge of evidence-based guidelines for the management of AD

Ability to apply evidence-based guidelines for the management of AD

Knowledge of the efficacy and safety of new and emerging therapies for AD

Ability to utilize new and emerging therapies for AD in clinical practice

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* 8. How committed are you to making changes in your practice based on your participation in this activity?

Very committed

Committed

Neutral

Not committed

I do not plan to make changes

If not committed or do not plan to make changes, please indicate reason

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* 9. Which of the following best describes the impact of this activity on your performance?

I gained new strategies/skills/information I can apply to my area of practice

I need more information before I can change my practice

My practice is already consistent with the information presented

This activity will not change my practice

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* 10. What barriers do you see to making changes in your practice? Please select all that apply.

Lack of knowledge regarding evidence-based strategies

Lack of convincing evidence to warrant change

Lack of time/resources to consider change

Insurance, reimbursement or legal issues

Conflicting guidelines or evidence

Patient compliance and/or patient resource barriers

Other (please specify)

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* 11. After participating in today’s activity, I am now better able to:

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
Integrate evidence-based diagnostic criteria and assessment strategies into the routine identification and evaluation of children and adults with known or suspected AD	Integrate evidence-based diagnostic criteria and assessment strategies into the routine identification and evaluation of children and adults with known or suspected AD Strongly agree	Integrate evidence-based diagnostic criteria and assessment strategies into the routine identification and evaluation of children and adults with known or suspected AD Agree	Integrate evidence-based diagnostic criteria and assessment strategies into the routine identification and evaluation of children and adults with known or suspected AD Neutral	Integrate evidence-based diagnostic criteria and assessment strategies into the routine identification and evaluation of children and adults with known or suspected AD Disagree	Integrate evidence-based diagnostic criteria and assessment strategies into the routine identification and evaluation of children and adults with known or suspected AD Strongly disagree
Apply current guideline recommendations to the effective management of children and adults with AD	Apply current guideline recommendations to the effective management of children and adults with AD Strongly agree	Apply current guideline recommendations to the effective management of children and adults with AD Agree	Apply current guideline recommendations to the effective management of children and adults with AD Neutral	Apply current guideline recommendations to the effective management of children and adults with AD Disagree	Apply current guideline recommendations to the effective management of children and adults with AD Strongly disagree
Review safety and efficacy data on new and emerging therapies for children and adults with AD	Review safety and efficacy data on new and emerging therapies for children and adults with AD Strongly agree	Review safety and efficacy data on new and emerging therapies for children and adults with AD Agree	Review safety and efficacy data on new and emerging therapies for children and adults with AD Neutral	Review safety and efficacy data on new and emerging therapies for children and adults with AD Disagree	Review safety and efficacy data on new and emerging therapies for children and adults with AD Strongly disagree
Demonstrate prompt referral of patients with AD to specialist care in accordance with guideline recommendations and best practices	Demonstrate prompt referral of patients with AD to specialist care in accordance with guideline recommendations and best practices Strongly agree	Demonstrate prompt referral of patients with AD to specialist care in accordance with guideline recommendations and best practices Agree	Demonstrate prompt referral of patients with AD to specialist care in accordance with guideline recommendations and best practices Neutral	Demonstrate prompt referral of patients with AD to specialist care in accordance with guideline recommendations and best practices Disagree	Demonstrate prompt referral of patients with AD to specialist care in accordance with guideline recommendations and best practices Strongly disagree

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* 12. Please rate your level of agreement by checking the appropriate rating.

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
Faculty for this activity was effective	Faculty for this activity was effective Strongly agree	Faculty for this activity was effective Agree	Faculty for this activity was effective Neutral	Faculty for this activity was effective Disagree	Faculty for this activity was effective Strongly disagree
Content was scientifically rigorous and evidence based	Content was scientifically rigorous and evidence based Strongly agree	Content was scientifically rigorous and evidence based Agree	Content was scientifically rigorous and evidence based Neutral	Content was scientifically rigorous and evidence based Disagree	Content was scientifically rigorous and evidence based Strongly disagree
Avoided commercial bias or influence	Avoided commercial bias or influence Strongly agree	Avoided commercial bias or influence Agree	Avoided commercial bias or influence Neutral	Avoided commercial bias or influence Disagree	Avoided commercial bias or influence Strongly disagree

The Critical Role of Pediatric Clinicians in Achieving Best Practices in Atopic Dermatitis Assessment, Management, and Referral Evaluation (ID: i806a-2)

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* 1. What is your degree?

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* 2. What is your specialty?

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* 3. Please select the option that best describes your practice setting.

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* 4. How many years have you been in practice?

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* 5. How many of your patients with AD do you manage per week?

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* 6. Following your participation in this activity, how confident are you in the management of patients with AD in your practice?

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* 7. Which new strategies/skills/information will you apply to your area of practice? Please select all that apply.

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* 8. How committed are you to making changes in your practice based on your participation in this activity?

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* 9. Which of the following best describes the impact of this activity on your performance?

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* 10. What barriers do you see to making changes in your practice? Please select all that apply.

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* 11. After participating in today’s activity, I am now better able to:

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* 12. Please rate your level of agreement by checking the appropriate rating.

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* 13. If you indicated that you perceived commercial bias or influence, please describe:

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* 14. As a result of your participation in this activity, what is the one change you are most likely to implement in your practice?

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* 15. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities: