CSIM Evaluation Form 2018 - Obstetric Medicine

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

Saturday, October 13, 2018
3. OBSTETRIC MEDICINE
Clots and Blood Thinners in Pregnancy: What the Internist Needs to Know – Dr. Gillian Ramsay
What’s New in the 2018 Diabetes in Pregnancy Guidelines – Dr. Jill Newstead-Angel
Preeclampsia and Hypertension Following Delivery – Dr. T. Lee-Ann Hawkins

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. Gillian Ramsay	Speaker effectiveness - Dr. Gillian Ramsay Poor	Speaker effectiveness - Dr. Gillian Ramsay Fair	Speaker effectiveness - Dr. Gillian Ramsay Satisfactory	Speaker effectiveness - Dr. Gillian Ramsay Good	Speaker effectiveness - Dr. Gillian Ramsay Excellent
Speaker effectiveness - Dr. Jill Newstead-Angel	Speaker effectiveness - Dr. Jill Newstead-Angel Poor	Speaker effectiveness - Dr. Jill Newstead-Angel Fair	Speaker effectiveness - Dr. Jill Newstead-Angel Satisfactory	Speaker effectiveness - Dr. Jill Newstead-Angel Good	Speaker effectiveness - Dr. Jill Newstead-Angel Excellent
Speaker effectiveness - Dr. T. Lee-Ann Hawkins	Speaker effectiveness - Dr. T. Lee-Ann Hawkins Poor	Speaker effectiveness - Dr. T. Lee-Ann Hawkins Fair	Speaker effectiveness - Dr. T. Lee-Ann Hawkins Satisfactory	Speaker effectiveness - Dr. T. Lee-Ann Hawkins Good	Speaker effectiveness - Dr. T. Lee-Ann Hawkins Excellent

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* 4. Session objectives were met

	Not at all	Partially	Mostly	Completely
Clots and Blood Thinners in Pregnancy: What the Internist Needs to Know	Clots and Blood Thinners in Pregnancy: What the Internist Needs to Know Not at all	Clots and Blood Thinners in Pregnancy: What the Internist Needs to Know Partially	Clots and Blood Thinners in Pregnancy: What the Internist Needs to Know Mostly	Clots and Blood Thinners in Pregnancy: What the Internist Needs to Know Completely
What’s New in the 2018 Diabetes in Pregnancy Guidelines	What’s New in the 2018 Diabetes in Pregnancy Guidelines Not at all	What’s New in the 2018 Diabetes in Pregnancy Guidelines Partially	What’s New in the 2018 Diabetes in Pregnancy Guidelines Mostly	What’s New in the 2018 Diabetes in Pregnancy Guidelines Completely
Preeclampsia and Hypertension Following Delivery	Preeclampsia and Hypertension Following Delivery Not at all	Preeclampsia and Hypertension Following Delivery Partially	Preeclampsia and Hypertension Following Delivery Mostly	Preeclampsia and Hypertension Following Delivery 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.