CSIM Evaluation Form 2018 - Common Problems in Postoperative Care for the Internist

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

Wednesday, October 10, 2018
COMMON PROBLEMS IN POSTOPERATIVE CARE FOR THE INTERNIST
Perioperative Acute Kidney Injury in Non-Cardiac Surgical Patients – Dr. Barry Baylis
Diabetes in the Postoperative Patient – Dr. Lynn Lambert
Post-Operative Anticoagulation – Dr. Luke Rannelli

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.

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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 - Dr. Barry Baylis	Speaker effectiveness - Dr. Barry Baylis Poor	Speaker effectiveness - Dr. Barry Baylis Fair	Speaker effectiveness - Dr. Barry Baylis Satisfactory	Speaker effectiveness - Dr. Barry Baylis Good	Speaker effectiveness - Dr. Barry Baylis Excellent
Speaker effectiveness - Dr. Lynn Lambert	Speaker effectiveness - Dr. Lynn Lambert Poor	Speaker effectiveness - Dr. Lynn Lambert Fair	Speaker effectiveness - Dr. Lynn Lambert Satisfactory	Speaker effectiveness - Dr. Lynn Lambert Good	Speaker effectiveness - Dr. Lynn Lambert Excellent
Speaker effectiveness - Dr. Luke Rannelli	Speaker effectiveness - Dr. Luke Rannelli Poor	Speaker effectiveness - Dr. Luke Rannelli Fair	Speaker effectiveness - Dr. Luke Rannelli Satisfactory	Speaker effectiveness - Dr. Luke Rannelli Good	Speaker effectiveness - Dr. Luke Rannelli Excellent

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* 4. Session objectives were met

	Not at all	Partially	Mostly	Completely
Perioperative Acute Kidney Injury in Non-Cardiac Surgical Patients	Perioperative Acute Kidney Injury in Non-Cardiac Surgical Patients Not at all	Perioperative Acute Kidney Injury in Non-Cardiac Surgical Patients Partially	Perioperative Acute Kidney Injury in Non-Cardiac Surgical Patients Mostly	Perioperative Acute Kidney Injury in Non-Cardiac Surgical Patients Completely
Diabetes in the Postoperative Patient	Diabetes in the Postoperative Patient Not at all	Diabetes in the Postoperative Patient Partially	Diabetes in the Postoperative Patient Mostly	Diabetes in the Postoperative Patient Completely
Post-Operative Anticoagulation	Post-Operative Anticoagulation Not at all	Post-Operative Anticoagulation Partially	Post-Operative Anticoagulation Mostly	Post-Operative Anticoagulation Completely

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* 5. Which CanMEDS roles do you feel were addressed during this educational activity?

Medical Expert

Scholar

Collaborator

Health Advocate

Communicator

Leader

Professional

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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

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* 7. What new information did you learn from this session?

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* 8. What changes will you make as a result?

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* 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:

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* 10. If you clicked "yes" above, please indicate your name and email address below:

First Name

Last Name

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* 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.")

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* 12. General Comments

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* 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.