1-742: Controversies in Dialysis Access 2021

Activity Evaluation Form, and Application for Continuing Education Credit

Controversies in Dialysis Access

December 10-12, 2021

We greatly value your opinion. Your responses will be used in future planning of activities and materials.

Question Title

* 1. How many years have you been in practice:

Not yet in training

In training (resident or fellow)

<5 years

6-10 years

11-15 years

16-20 years

21+ years

Question Title

* 2. Upon completion of this activity, I feel I am able to:

	Strongly Agree	Agree	Disagree	Strongly Disagree	Not applicable
Discuss the power of teamwork affecting patient quality of life, and outcomes	Discuss the power of teamwork affecting patient quality of life, and outcomes Strongly Agree	Discuss the power of teamwork affecting patient quality of life, and outcomes Agree	Discuss the power of teamwork affecting patient quality of life, and outcomes Disagree	Discuss the power of teamwork affecting patient quality of life, and outcomes Strongly Disagree	Discuss the power of teamwork affecting patient quality of life, and outcomes Not applicable
Identify an objective algorithm focused on outcomes	Identify an objective algorithm focused on outcomes Strongly Agree	Identify an objective algorithm focused on outcomes Agree	Identify an objective algorithm focused on outcomes Disagree	Identify an objective algorithm focused on outcomes Strongly Disagree	Identify an objective algorithm focused on outcomes Not applicable
Review the impact of research study design on results and conclusions	Review the impact of research study design on results and conclusions Strongly Agree	Review the impact of research study design on results and conclusions Agree	Review the impact of research study design on results and conclusions Disagree	Review the impact of research study design on results and conclusions Strongly Disagree	Review the impact of research study design on results and conclusions Not applicable
List new procedures, devices and policies approved or in progress from FDA, CMS, and other governing institutions	List new procedures, devices and policies approved or in progress from FDA, CMS, and other governing institutions Strongly Agree	List new procedures, devices and policies approved or in progress from FDA, CMS, and other governing institutions Agree	List new procedures, devices and policies approved or in progress from FDA, CMS, and other governing institutions Disagree	List new procedures, devices and policies approved or in progress from FDA, CMS, and other governing institutions Strongly Disagree	List new procedures, devices and policies approved or in progress from FDA, CMS, and other governing institutions Not applicable

Question Title

* 3. Please indicate the extent of your agreement with the following statements:

	Strongly Agree	Agree	Disagree	Strongly Disagree	Not applicable
The faculty for this CME activity were effective	The faculty for this CME activity were effective Strongly Agree	The faculty for this CME activity were effective Agree	The faculty for this CME activity were effective Disagree	The faculty for this CME activity were effective Strongly Disagree	The faculty for this CME activity were effective Not applicable
The educational resources and/or handouts provided to me at the educational activity are useful to my practice.	The educational resources and/or handouts provided to me at the educational activity are useful to my practice. Strongly Agree	The educational resources and/or handouts provided to me at the educational activity are useful to my practice. Agree	The educational resources and/or handouts provided to me at the educational activity are useful to my practice. Disagree	The educational resources and/or handouts provided to me at the educational activity are useful to my practice. Strongly Disagree	The educational resources and/or handouts provided to me at the educational activity are useful to my practice. Not applicable