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

Thursday, November 2, 2017
Research/QI Workshop  - 0900-1130

Part 1 - 0900-1000
·     Share ideas in development in research or QI
·     Understand how internists can lead research or QI
·     Gain and share feedback from peers on new initiatives

Part 2  - 1030-1130
Dr. Christine Soong and Dr. Adina Weinerman
·     Foster networks within the GIM research community
·     Form national GIM collaborations within the research/QI/Choosing Wisely community
·     Network, share ideas, and discuss opportunities for collaboration in Choosing Wisely activities

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.

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
Usefulness/practicality of this presentation
Adequate time for questions/discussion
Speaker effectiveness: 
Speaker effectiveness: Dr. Christine Soong
Speaker effectiveness: Dr. Adina Weinerman

Question Title

* 4. Session objectives were met

  Not at all Partially Mostly Completely
Objectives - Part 1
Objectives - Part 2

Question Title

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

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

Question Title

* 6. Bias and Balance

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

Question Title

* 7. General Comments

Question Title

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

Question Title

* 9. Feedback

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.