CSIM Evaluation Form 2018 - Critical Care Extended Workshop CSIM Evaluation FormYour feedback is invaluable and will help us improve the meeting and plan future educational activities.Wednesday, October 10, 2018CRITICAL CAREUpdate on Sepsis – Dr. Scott McKeeUpdate on Respiratory Failure – Dr. John Ronald Brain Outcomes in the Intensive Care Unit – Dr. Michael Kenyon To thank you for completing these evaluation forms, we will hold a daily draw for a $25 Tim Hortons 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. Question Title * 1. Your Name Question Title * 2. Your Email Address Question Title * 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 - Dr. Scott McKee Speaker effectiveness - Dr. Scott McKee Poor Speaker effectiveness - Dr. Scott McKee Fair Speaker effectiveness - Dr. Scott McKee Satisfactory Speaker effectiveness - Dr. Scott McKee Good Speaker effectiveness - Dr. Scott McKee Excellent Speaker effectiveness - Dr. John Ronald Speaker effectiveness - Dr. John Ronald Poor Speaker effectiveness - Dr. John Ronald Fair Speaker effectiveness - Dr. John Ronald Satisfactory Speaker effectiveness - Dr. John Ronald Good Speaker effectiveness - Dr. John Ronald Excellent Speaker effectiveness - Dr. Michael Kenyon Speaker effectiveness - Dr. Michael Kenyon Poor Speaker effectiveness - Dr. Michael Kenyon Fair Speaker effectiveness - Dr. Michael Kenyon Satisfactory Speaker effectiveness - Dr. Michael Kenyon Good Speaker effectiveness - Dr. Michael Kenyon Excellent Question Title * 4. Session objectives were met Not at all Partially Mostly Completely Update on Sepsis Update on Sepsis Not at all Update on Sepsis Partially Update on Sepsis Mostly Update on Sepsis Completely Update on Respiratory Failure Update on Respiratory Failure Not at all Update on Respiratory Failure Partially Update on Respiratory Failure Mostly Update on Respiratory Failure Completely Brain Outcomes in the Intensive Care Unit Brain Outcomes in the Intensive Care Unit Not at all Brain Outcomes in the Intensive Care Unit Partially Brain Outcomes in the Intensive Care Unit Mostly Brain Outcomes in the Intensive Care Unit Completely Question Title * 5. Which CanMEDS roles do you feel were addressed during this educational activity? Medical Expert Scholar Collaborator Health Advocate Communicator Leader Professional Question Title * 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 Question Title * 7. What new information did you learn from this session? Question Title * 8. What changes will you make as a result? Question Title * 9. As part of its continuing professional development efforts, the CSIM would like to follow up with you in three months regarding potential impact this session had on your practice. No, do not contact me. Yes, CSIM may contact me as noted above – please indicate your name and email below: Question Title * 10. If you clicked "yes" above, please indicate your name and email address below: First Name Last Name Email Question Title * 11. 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.") Question Title * 12. General Comments Question Title * 13. Topic suggestions for future conferences (please be as specific as possible) 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. Click here to submit your form