The Spine, Pelvis and Hip: An Evidence Based Update

To assist us in evaluating the effectiveness of this activity and to make recommendations for future educational offerings, please take a few moments to complete this evaluation form.  Your responses will help ensure that future programs are informational and meet the educational needs of all participants.  CE Credit letters, and CEU certificates will ONLY be issued upon receipt of this completed form.

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* 2. Address

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* 3. Please indicate the total number of credits/hours you are claiming for today's session. (Maximum 3.75 credits/hours)

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* 4. Did you participate in this activity with other members of your interprofessional health care team?

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* 5. What was your primary motivation for participating in this activity? (check one) 

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* 6. Learning Objectives: 
Having completed this activity, are you better able to:


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Recognize common risk factors for spinal, pelvic and hip injury
Describe common injury mechanisms of spinal, pelvic and hip injury
Review various conservative and operative treatment options for athletes with spinal, pelvic or hip injury
Describe the current imaging methodologies used to evaluate patients with spinal, pelvic and hip injury
List the goals, criteria, and benchmarks for spinal rehabilitation and progression
Identify factors that influence femoral acetabular injury
Describe the imaging approaches for the identification of pubalgia and the conservative and operative treatment options
Discuss preventative strategies for reducing spinal, pelvic and hip injury

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* 7. If you do not feel confident that you can achieve the above objectives to some extent, please describe why not.

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* 8. Based on the content of the activity, what will you do differently in the care of your patients and/or regarding your professional responsibilities? (check one)

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* 9. If you anticipate changing one or more aspects of your practice and/or professional responsibilities, please briefly describe how you plan to do so.

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* 10. What impact will this activity have on your interprofessional collaborative practice? (Check all that apply) 
Having completed this activity, you are better able to:

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* 11. OVERALL EVALUATION: 
This education.....

  Strongly disagree Disagree Neutral; Neither Agree or Disagree Agree Strongly agree
Increased my understanding of the subject
Will help me collaborate with other health care professionals
Addressed issues in cultural competency
Was evidence based and scientifically balanced
Was free from commercial bias or influence
Met my expectations

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* 12. Speaker Evaluation:

The Speaker was an effective presenter:

  Strongly Disagree Disagree Neutral; Neither Agree or Disagree Agree Strongly Agree
Management of Cervical Spine Injuries - Dr. Mathew McDonnell
Management of Lumbar Spine Injuries - Dr. Gino Chiappetta
Considerations for Spinal Rehabilitation - Mr.  Dino Pinciotti
Round Table Discussion 1 - Dr. McDonnell, Dr. Chiappetta, Mr. Pinciotti
Bony Stress Injuries of Spine, Pelvis and Hip - Dr. Kenneth Swan
Femoral Acetabular Impingement - Dr. Charles Gatt
Management of Hip Injuries - Dr. Jeffrey Bechler
Timothy M. Hosea Memorial Lecture: Management Strategies for Pubalgia - Dr. Andrew Boyarsky
Round Table Discussion 2 - Drs Bechler, Boyarsky, Gatt and Swan

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* 13. What issues are you experiencing in your practice and/or regarding your professional responsibilities that could be addressed in future programming?

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* 14. Venue Related Questions: 
To be completed only by those who attended the live meeting.

  Disagreee Neutral; don't agree or disagree Strongly Agree
The registration process was smooth
The food was good
The compendium provides good supplemental information
I will attend a future UOA educational event

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* 15. What day of the week do you prefer for a meeting?

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* 16. Webinar Questions:
Complete only if you viewed the webinar

  Disagree Neutral; Don't agree or disagree Strongly agree
The webinar video was of high quality
The webinar audio was of high quality
The compendium provided good supplemental information
The registration process was easy
I will participate in a future UOA educational webinar

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* 17. Please provide any suggestions to improve the content/quality of the meeting.

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