CoCM Continued Learning Series Webinar - Motivational Interviewing: SBIRT & Putting it Together Survey

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* 1. Personal Information

First Name

Last Name

Credential

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* 2. Physician Organization

Affinia Health Network-Lakeshore

Alliance Health

GMP Network

Great Lakes Physician Organization

Northern Physician Organization (NPO)

Integrated Health Partners (IHP)

Other (please specify)

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* 3. Practice

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* 4. Please choose your role:

Provider (MD, DO, PA-C, NP, etc.)

Nurse Care Manager/Care Coordinator

Social Worker Care Manager/Behavioral Health Specialist

Pharmacist

Other Clinical (CMA, RMA, etc.)

Non-Clinical (Practice Manager, Support Staff, etc.)

Leadership

Other (please specify)

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* 5. On a scale of 1-5 please rate the topics of this session:

	1-Not at all Helpful	2-Not too Helpful	3-Neutral/About Average	4-Fairly Helpful	5-Very Helpful
Review of the evidence-based approaches to screen for SUD and discuss the use of MI to effectively coach and mentor the patient	Review of the evidence-based approaches to screen for SUD and discuss the use of MI to effectively coach and mentor the patient 1-Not at all Helpful	Review of the evidence-based approaches to screen for SUD and discuss the use of MI to effectively coach and mentor the patient 2-Not too Helpful	Review of the evidence-based approaches to screen for SUD and discuss the use of MI to effectively coach and mentor the patient 3-Neutral/About Average	Review of the evidence-based approaches to screen for SUD and discuss the use of MI to effectively coach and mentor the patient 4-Fairly Helpful	Review of the evidence-based approaches to screen for SUD and discuss the use of MI to effectively coach and mentor the patient 5-Very Helpful
Review the use of the SPIRIT and Skills of MI and discuss approaches to consider when the patient has dual diagnosis of Depression/Anxiety and SUD	Review the use of the SPIRIT and Skills of MI and discuss approaches to consider when the patient has dual diagnosis of Depression/Anxiety and SUD 1-Not at all Helpful	Review the use of the SPIRIT and Skills of MI and discuss approaches to consider when the patient has dual diagnosis of Depression/Anxiety and SUD 2-Not too Helpful	Review the use of the SPIRIT and Skills of MI and discuss approaches to consider when the patient has dual diagnosis of Depression/Anxiety and SUD 3-Neutral/About Average	Review the use of the SPIRIT and Skills of MI and discuss approaches to consider when the patient has dual diagnosis of Depression/Anxiety and SUD 4-Fairly Helpful	Review the use of the SPIRIT and Skills of MI and discuss approaches to consider when the patient has dual diagnosis of Depression/Anxiety and SUD 5-Very Helpful

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* 6. If you scored the above topics at a 4 or 5, please give examples of what was most helpful.

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* 7. If you scored the above topics at a 1 or 2, please tell us more.

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* 8. After attending this webinar, please rate your change in confidence at applying motivational interviewing skills to patient care.

1-Not at all Confident

2-Somewhat Confident

3-Average

4-Confident

5-Very Confident

1-Not at all Confident

2-Somewhat Confident

3-Average

4-Confident

5-Very Confident

CoCM Continued Learning Series Webinar - Motivational Interviewing: SBIRT & Putting it Together

POST-WEBINAR SURVEY

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* 1. Personal Information

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* 2. Physician Organization

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* 3. Practice

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* 4. Please choose your role:

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* 5. On a scale of 1-5 please rate the topics of this session:

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* 6. If you scored the above topics at a 4 or 5, please give examples of what was most helpful.

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* 7. If you scored the above topics at a 1 or 2, please tell us more.

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* 8. After attending this webinar, please rate your change in confidence at applying motivational interviewing skills to patient care.

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* 9. What new abilities/strategies have you gained from this session?

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* 10. After attending this session, what would be helpful to learn about in future sessions?

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* 11. I felt the presentations were free of commercial bias.

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* 12. If you answered no to the above question, please describe bias.

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* 13. Were disclosures made available to you?

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* 14. Other Comments: