2019 AK-ACEP Leadership Summit

Activity Evaluation

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* 1. Will you make changes in your practice as a result of this activity?

Yes

No

Unsure

N/A

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* 2. Please describe a specific change you will make to your practice.

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* 3. Please rate the following presentations:

	N/A Didn't attend	Unsatisfactory				Exemplary
MAT / Opioid education - Eric Ketcham	MAT / Opioid education - Eric Ketcham N/A Didn't attend	MAT / Opioid education - Eric Ketcham Unsatisfactory	MAT / Opioid education - Eric Ketcham	MAT / Opioid education - Eric Ketcham	MAT / Opioid education - Eric Ketcham	MAT / Opioid education - Eric Ketcham Exemplary
Comments
Opioid Panel - Drs. Steve Anderson, Eric Ketcham and Anne Zink for discussion; Mark Simon, MD, moderator	Opioid Panel - Drs. Steve Anderson, Eric Ketcham and Anne Zink for discussion; Mark Simon, MD, moderator N/A Didn't attend	Opioid Panel - Drs. Steve Anderson, Eric Ketcham and Anne Zink for discussion; Mark Simon, MD, moderator Unsatisfactory	Opioid Panel - Drs. Steve Anderson, Eric Ketcham and Anne Zink for discussion; Mark Simon, MD, moderator	Opioid Panel - Drs. Steve Anderson, Eric Ketcham and Anne Zink for discussion; Mark Simon, MD, moderator	Opioid Panel - Drs. Steve Anderson, Eric Ketcham and Anne Zink for discussion; Mark Simon, MD, moderator	Opioid Panel - Drs. Steve Anderson, Eric Ketcham and Anne Zink for discussion; Mark Simon, MD, moderator Exemplary
Comments
Red Flags and Drug Seeking Behavior - DPM Quintero	Red Flags and Drug Seeking Behavior - DPM Quintero N/A Didn't attend	Red Flags and Drug Seeking Behavior - DPM Quintero Unsatisfactory	Red Flags and Drug Seeking Behavior - DPM Quintero	Red Flags and Drug Seeking Behavior - DPM Quintero	Red Flags and Drug Seeking Behavior - DPM Quintero	Red Flags and Drug Seeking Behavior - DPM Quintero Exemplary
Comments
TXA Pre-Hospital Hemorrhage Control - Elisha G. Brownson, MD, FACS	TXA Pre-Hospital Hemorrhage Control - Elisha G. Brownson, MD, FACS N/A Didn't attend	TXA Pre-Hospital Hemorrhage Control - Elisha G. Brownson, MD, FACS Unsatisfactory	TXA Pre-Hospital Hemorrhage Control - Elisha G. Brownson, MD, FACS	TXA Pre-Hospital Hemorrhage Control - Elisha G. Brownson, MD, FACS	TXA Pre-Hospital Hemorrhage Control - Elisha G. Brownson, MD, FACS	TXA Pre-Hospital Hemorrhage Control - Elisha G. Brownson, MD, FACS Exemplary
Comments
7 Best Practices and Washington’s Reaction to the Opioid Crisis - Steve Anderson, MD, FACEP	7 Best Practices and Washington’s Reaction to the Opioid Crisis - Steve Anderson, MD, FACEP N/A Didn't attend	7 Best Practices and Washington’s Reaction to the Opioid Crisis - Steve Anderson, MD, FACEP Unsatisfactory	7 Best Practices and Washington’s Reaction to the Opioid Crisis - Steve Anderson, MD, FACEP	7 Best Practices and Washington’s Reaction to the Opioid Crisis - Steve Anderson, MD, FACEP	7 Best Practices and Washington’s Reaction to the Opioid Crisis - Steve Anderson, MD, FACEP	7 Best Practices and Washington’s Reaction to the Opioid Crisis - Steve Anderson, MD, FACEP Exemplary
Comments
Ultrasound for Vascular Access - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson	Ultrasound for Vascular Access - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson N/A Didn't attend	Ultrasound for Vascular Access - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson Unsatisfactory	Ultrasound for Vascular Access - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson	Ultrasound for Vascular Access - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson	Ultrasound for Vascular Access - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson	Ultrasound for Vascular Access - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson Exemplary
Comments
Ultrasound: Nerve Blocks - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson	Ultrasound: Nerve Blocks - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson N/A Didn't attend	Ultrasound: Nerve Blocks - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson Unsatisfactory	Ultrasound: Nerve Blocks - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson	Ultrasound: Nerve Blocks - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson	Ultrasound: Nerve Blocks - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson	Ultrasound: Nerve Blocks - Drs. Jake Miss, Mark Robidoux, Nick Papacostas, David Scordino, Tiffany Peterson Exemplary
Comments

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* 4. Will the information presented in today’s course change the way you prescribe opioids?

Yes

No

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* 5. Next year, what would you like to hear more of?

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* 6. Next year, what would you like to hear less of?

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* 7. Do you feel that the presentations were fair, balanced and free of commercial bias?

Yes

No

Other (please specify)

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* 8. Please rank the BP Energy Center

	Poor	Average	Good
Parking	Parking Poor	Parking Average	Parking Good
Food	Food Poor	Food Average	Food Good
Audio/Visual	Audio/Visual Poor	Audio/Visual Average	Audio/Visual Good
Meeting room temperature	Meeting room temperature Poor	Meeting room temperature Average	Meeting room temperature Good
Meeting room set up	Meeting room set up Poor	Meeting room set up Average	Meeting room set up Good

Other (please specify)