Paris IC41 - Curbside consult for keratoconus: a case-based approach

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* 1. Participant Name:

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* 2. Professional Situation:

Resident

University

Hospital Staff

Ophthalmic Assistant

Private Practice

Industry

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* 3. What was your main reason for choosing this course?

Interesting Topic

Good Faculty

Well-known Course Director

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* 4. How did you rate the content of this course? (1 = poor, 5 = excellent)

1

2

3

4

5

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* 5. How useful was the course for your clinical practice? (1 = poor, 5 = excellent)

1

2

3

4

5

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* 6. Did all listed faculty members attend this course?

Yes

No

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* 7. Was the course free from commercial bias?

Yes

No

If no, what was the bias?

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* 8. Do you have any suggestions to improve the presentations in this course?

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* 9. How did you rate the quality of the speakers in this course? (1 = poor, 5 = excellent)

	1	2	3	4	5
R. Shetty	R. Shetty 1	R. Shetty 2	R. Shetty 3	R. Shetty 4	R. Shetty 5
P. Patel	P. Patel 1	P. Patel 2	P. Patel 3	P. Patel 4	P. Patel 5
R. Ambrosio	R. Ambrosio 1	R. Ambrosio 2	R. Ambrosio 3	R. Ambrosio 4	R. Ambrosio 5
R. Nuijts	R. Nuijts 1	R. Nuijts 2	R. Nuijts 3	R. Nuijts 4	R. Nuijts 5
N. Pahuja	N. Pahuja 1	N. Pahuja 2	N. Pahuja 3	N. Pahuja 4	N. Pahuja 5
P. Khamar	P. Khamar 1	P. Khamar 2	P. Khamar 3	P. Khamar 4	P. Khamar 5

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* 10. How did you rate the standard of English of the speakers in this course? (1 = poor, 5 = excellent)

	1	2	3	4	5
R. Shetty	R. Shetty 1	R. Shetty 2	R. Shetty 3	R. Shetty 4	R. Shetty 5
P. Patel	P. Patel 1	P. Patel 2	P. Patel 3	P. Patel 4	P. Patel 5
R. Ambrosio	R. Ambrosio 1	R. Ambrosio 2	R. Ambrosio 3	R. Ambrosio 4	R. Ambrosio 5
R. Nuijts	R. Nuijts 1	R. Nuijts 2	R. Nuijts 3	R. Nuijts 4	R. Nuijts 5
N. Pahuja	N. Pahuja 1	N. Pahuja 2	N. Pahuja 3	N. Pahuja 4	N. Pahuja 5
P. Khamar	P. Khamar 1	P. Khamar 2	P. Khamar 3	P. Khamar 4	P. Khamar 5

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* 11. General Comments and Suggestions: