CSIM Evaluation - Concurrent Workshop - W15

CSIM Evaluation Form - Concurrent Workshop - W15
Your feedback is invaluable and will help us improve the meeting and plan future educational activities.

Friday, November 3, 2017
0915-1145
W15. Internal Medicine Aspects as they Relate to Preparation of the Bariatric Surgery Patient
Dr. Steve Glazer

To thank you for completing these evaluation forms, we will hold a daily draw for a $25 Starbucks gift card. If you wish to enter, please indicate your name and email address. Winners will be announced on-site at the meeting and on social media.

Participation is optional; if you do not wish to participate, leave the following two fields blank.

One entry per session evaluated. Contact information will only be used for draw purposes. Survey responses are anonymous.

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* 1. Your Name

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* 2. Your Email Address

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* 3. Please rate this session as follows

	Poor	Fair	Satisfactory	Good	Excellent
Scientific content of this presentation	Scientific content of this presentation Poor	Scientific content of this presentation Fair	Scientific content of this presentation Satisfactory	Scientific content of this presentation Good	Scientific content of this presentation Excellent
Usefulness/practicality of this presentation	Usefulness/practicality of this presentation Poor	Usefulness/practicality of this presentation Fair	Usefulness/practicality of this presentation Satisfactory	Usefulness/practicality of this presentation Good	Usefulness/practicality of this presentation Excellent
Adequate time for questions/discussion	Adequate time for questions/discussion Poor	Adequate time for questions/discussion Fair	Adequate time for questions/discussion Satisfactory	Adequate time for questions/discussion Good	Adequate time for questions/discussion Excellent
Speaker effectiveness	Speaker effectiveness Poor	Speaker effectiveness Fair	Speaker effectiveness Satisfactory	Speaker effectiveness Good	Speaker effectiveness Excellent

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* 4. Session objectives were met

	Not at all	Partially	Mostly	Completely
Identify patients who are suitable candidates for gastric bypass surgery	Identify patients who are suitable candidates for gastric bypass surgery Not at all	Identify patients who are suitable candidates for gastric bypass surgery Partially	Identify patients who are suitable candidates for gastric bypass surgery Mostly	Identify patients who are suitable candidates for gastric bypass surgery Completely
Perform an appropriate perioperative assessment of patients undergoing gastric bypass surgery	Perform an appropriate perioperative assessment of patients undergoing gastric bypass surgery Not at all	Perform an appropriate perioperative assessment of patients undergoing gastric bypass surgery Partially	Perform an appropriate perioperative assessment of patients undergoing gastric bypass surgery Mostly	Perform an appropriate perioperative assessment of patients undergoing gastric bypass surgery Completely
Provide pre-operative medical counselling and treatment to patients to reduce their risk of complications from gastric bypass surgery	Provide pre-operative medical counselling and treatment to patients to reduce their risk of complications from gastric bypass surgery Not at all	Provide pre-operative medical counselling and treatment to patients to reduce their risk of complications from gastric bypass surgery Partially	Provide pre-operative medical counselling and treatment to patients to reduce their risk of complications from gastric bypass surgery Mostly	Provide pre-operative medical counselling and treatment to patients to reduce their risk of complications from gastric bypass surgery Completely

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* 5. Bias and Balance

	Yes	No	Unsure
The content of this presentation was scientifically valid and balanced	The content of this presentation was scientifically valid and balanced Yes	The content of this presentation was scientifically valid and balanced No	The content of this presentation was scientifically valid and balanced Unsure
This session WAS FREE from indicators of undue industry bias	This session WAS FREE from indicators of undue industry bias Yes	This session WAS FREE from indicators of undue industry bias No	This session WAS FREE from indicators of undue industry bias Unsure
This session WAS FREE from indicators of undue personal/other bias	This session WAS FREE from indicators of undue personal/other bias Yes	This session WAS FREE from indicators of undue personal/other bias No	This session WAS FREE from indicators of undue personal/other bias Unsure

If you feel there were indicators of bias, please describe:
(Note: Bias is defined as "a personal judgment in favor of a specific proprietary business interest or a commercial interest.")

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* 6. Outcomes: As a result of attending this session, are you planning to

	Yes	No	Maybe
Discuss the session with your colleagues	Discuss the session with your colleagues Yes	Discuss the session with your colleagues No	Discuss the session with your colleagues Maybe
Pursue additional learning activities	Pursue additional learning activities Yes	Pursue additional learning activities No	Pursue additional learning activities Maybe
Complete a Personal Learning Project (PLP)	Complete a Personal Learning Project (PLP) Yes	Complete a Personal Learning Project (PLP) No	Complete a Personal Learning Project (PLP) Maybe

What new information did you learn from this session; what changes will you make as a result?

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* 7. General Comments

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* 8. Topic suggestions for future conferences (please be as specific as possible)

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* 9. Feedback

Check here if you would like someone to contact you about your feedback.

If yes, please provide your email address

An evaluation form for general conference feedback is available on the CSIM website and will also be emailed to you after the conference.

Thank you for your feedback.