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* 1. Which of the following best describes the impact of this activity on your performance?

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* 2. How committed are you to making changes in your practice based on your participation in this activity?

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* 3. As a result of your participation in this activity, what strategies/changes do you plan to implement in your practice?

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* 4. What barriers do you see to making changes in your practice?

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* 5. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities:

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* 6. After participating in today’s activity, I am now able to:

  Strongly agree Agree Neutral Disagree Strongly disagree
Describe signs and symptoms that should prompt suspicion of MF-CTCL
Identify barriers to the accurate diagnosis of MF-CTCL and explain how such barriers may be effectively addressed
Outline an individualized approach to the treatment of early-stage MF-CTCL that includes appropriate use of skin-directed therapies for optimized patient care

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* 7. Larisa Geskin, MD, FAAD, effectively

  Strongly agree Agree Neutral Disagree Strongly disagree
Presented the material
Avoided commercial bias

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* 8. The content presented:

  Strongly agree Agree Neutral Disagree Strongly disagree
Enhanced my current knowledge base
Addressed my most pressing questions
Promoted improvements or quality in healthcare
Was scientifically rigorous and evidence based
Avoided commercial bias or influence

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* 9. If you indicated that you perceived commercial bias or influence, please describe:

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* 10. How would you rate the format of this activity?

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* 11. Would you be willing to participate in a postactivity follow-up survey?

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