CME Evaluation - Obesity Prevention During the Well Child Visit Survey

Your comments are essential for improving the effectiveness of SCVMC continuing medical education activities. Please complete the following questionnaire.

Title: Obesity Prevention During the Well Child Visit: Quick, Best Practices You Can Implement Now

Speaker: Carol Danaher, MPH, RD

Educational Objectives:
1. Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit.
2. Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices
3. Pediatric healthcare providers will implement referral strategies to the 5 Keys to Raising a Healthy Happy Eater class to support early intervention of feeding problems and obesity prevention.

	Poor	Fair	Good	Very Good	Excellent
Objective #1.Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit.	Objective #1.Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit. Poor	Objective #1.Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit. Fair	Objective #1.Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit. Good	Objective #1.Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit. Very Good	Objective #1.Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit. Excellent
Objective 2.Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices	Objective 2.Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices Poor	Objective 2.Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices Fair	Objective 2.Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices Good	Objective 2.Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices Very Good	Objective 2.Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices Excellent
Objective 3. Pediatric healthcare providers will implement referral strategies to the 5 Keys to Raising a Healthy Happy Eater class to support early intervention of feeding problems and obesity prevention.	Objective 3. Pediatric healthcare providers will implement referral strategies to the 5 Keys to Raising a Healthy Happy Eater class to support early intervention of feeding problems and obesity prevention. Poor	Objective 3. Pediatric healthcare providers will implement referral strategies to the 5 Keys to Raising a Healthy Happy Eater class to support early intervention of feeding problems and obesity prevention. Fair	Objective 3. Pediatric healthcare providers will implement referral strategies to the 5 Keys to Raising a Healthy Happy Eater class to support early intervention of feeding problems and obesity prevention. Good	Objective 3. Pediatric healthcare providers will implement referral strategies to the 5 Keys to Raising a Healthy Happy Eater class to support early intervention of feeding problems and obesity prevention. Very Good	Objective 3. Pediatric healthcare providers will implement referral strategies to the 5 Keys to Raising a Healthy Happy Eater class to support early intervention of feeding problems and obesity prevention. Excellent

Poor

Fair

Good

Very Good

Excellent

Objective #1.Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit.

Objective #1.Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit. Poor

Objective #1.Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit. Fair

Objective #1.Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit. Good

Objective #1.Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit. Very Good

Objective #1.Pediatric healthcare providers will implement division of responsibility based feeding guidance during the well child visit. Excellent

Objective 2.Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices

Objective 2.Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices Poor

Objective 2.Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices Fair

Objective 2.Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices Good

Objective 2.Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices Very Good

Objective 2.Pediatric healthcare providers will differentiate guidance that supports child autonomy from pressure-to-eat and restrictive feeding practices Excellent

Objective 3. Pediatric healthcare providers will implement referral strategies to the 5 Keys to Raising a Healthy Happy Eater class to support early intervention of feeding problems and obesity prevention.

	Not at All	Fair	Good	Very Good	Excellent
Please rate the effectiveness of the presentation (as above scoring)	Please rate the effectiveness of the presentation (as above scoring) Not at All	Please rate the effectiveness of the presentation (as above scoring) Fair	Please rate the effectiveness of the presentation (as above scoring) Good	Please rate the effectiveness of the presentation (as above scoring) Very Good	Please rate the effectiveness of the presentation (as above scoring) Excellent
Please rate the impact of the above learning objectives on your professional competence	Please rate the impact of the above learning objectives on your professional competence Not at All	Please rate the impact of the above learning objectives on your professional competence Fair	Please rate the impact of the above learning objectives on your professional competence Good	Please rate the impact of the above learning objectives on your professional competence Very Good	Please rate the impact of the above learning objectives on your professional competence Excellent
Please rate the impact of the above learning objectives on your professional performance	Please rate the impact of the above learning objectives on your professional performance Not at All	Please rate the impact of the above learning objectives on your professional performance Fair	Please rate the impact of the above learning objectives on your professional performance Good	Please rate the impact of the above learning objectives on your professional performance Very Good	Please rate the impact of the above learning objectives on your professional performance Excellent
Please rate the impact of the above learning objectives on your patient care outcomes	Please rate the impact of the above learning objectives on your patient care outcomes Not at All	Please rate the impact of the above learning objectives on your patient care outcomes Fair	Please rate the impact of the above learning objectives on your patient care outcomes Good	Please rate the impact of the above learning objectives on your patient care outcomes Very Good	Please rate the impact of the above learning objectives on your patient care outcomes Excellent

Not at All

Fair

Good

Very Good

Excellent

Please rate the effectiveness of the presentation (as above scoring)

Please rate the effectiveness of the presentation (as above scoring) Not at All

Please rate the effectiveness of the presentation (as above scoring) Fair

Please rate the effectiveness of the presentation (as above scoring) Good

Please rate the effectiveness of the presentation (as above scoring) Very Good

Please rate the effectiveness of the presentation (as above scoring) Excellent

Please rate the impact of the above learning objectives on your professional competence

Please rate the impact of the above learning objectives on your professional competence Not at All

Please rate the impact of the above learning objectives on your professional competence Fair

Please rate the impact of the above learning objectives on your professional competence Good

Please rate the impact of the above learning objectives on your professional competence Very Good

Please rate the impact of the above learning objectives on your professional competence Excellent

Please rate the impact of the above learning objectives on your professional performance

Please rate the impact of the above learning objectives on your professional performance Not at All

Please rate the impact of the above learning objectives on your professional performance Fair

Please rate the impact of the above learning objectives on your professional performance Good

Please rate the impact of the above learning objectives on your professional performance Very Good

Please rate the impact of the above learning objectives on your professional performance Excellent

Please rate the impact of the above learning objectives on your patient care outcomes

Please rate the impact of the above learning objectives on your patient care outcomes Not at All

Please rate the impact of the above learning objectives on your patient care outcomes Fair

Please rate the impact of the above learning objectives on your patient care outcomes Good

Please rate the impact of the above learning objectives on your patient care outcomes Very Good

Please rate the impact of the above learning objectives on your patient care outcomes Excellent

	Not at All	Somewhat Likely	Highly Likely	Definitely
Estimate the likelihood that you will make changes in the care and management of your patients as result of this activity	Estimate the likelihood that you will make changes in the care and management of your patients as result of this activity Not at All	Estimate the likelihood that you will make changes in the care and management of your patients as result of this activity Somewhat Likely	Estimate the likelihood that you will make changes in the care and management of your patients as result of this activity Highly Likely	Estimate the likelihood that you will make changes in the care and management of your patients as result of this activity Definitely

Not at All

Somewhat Likely

Highly Likely

Definitely

Estimate the likelihood that you will make changes in the care and management of your patients as result of this activity

Estimate the likelihood that you will make changes in the care and management of your patients as result of this activity Not at All

Estimate the likelihood that you will make changes in the care and management of your patients as result of this activity Somewhat Likely

Estimate the likelihood that you will make changes in the care and management of your patients as result of this activity Highly Likely

Estimate the likelihood that you will make changes in the care and management of your patients as result of this activity Definitely

CME Evaluation - Obesity Prevention During the Well Child Visit

1. CME ACTIVITY PROGRAM EVALUATION

Question Title

* 1. Please indicate how well this activity addressed the educational objectives from 1 = Poor to 5 = Excellent

Question Title

* 2. Please rate the followings from 1 = Poor to 5 = Excellent

Question Title

* 3. A verbal or written statement regarding conflict of interest was made:

Question Title

* 4. Do you feel that the speaker had any bias (commercial or other) that is relevant to this CME activity

Question Title

* 5. Please rate the following

Question Title

* 6. Please list at least 1 specific change in patient care you intend to make after participating in this activity

Question Title

* 7. Issues in Cultural and Linguistic Competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural date) were adequately addressed in this activity:

Question Title

* 8. After attending this presentation, please suggest two topics for future educational activities: