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SYMPOSIUM EVALUATION FORM
Your feedback provides us with vital information that assists in the development of future educational initiatives.
Thank you for completing the evaluation form.
Assessment of Learning Objectives
Using a scale of very low to very high, please indicate your level of confidence in the learning objectives as it relates to your knowledge, belief, or behavior, pre-program and post-program.
Recognize the prevalence of heart failure with preserved ejection fraction as an endocrinologist and understand why it is important for endocrinologists to diagnose patients with HFpEF
Very Low
Low
Neutral
High
Very High
Before
Very Low
Low
Neutral
High
Very High
After
Very Low
Low
Neutral
High
Very High
Understand the tests required to diagnose heart failure with preserved ejection fraction and exclude other conditions with similar presentations
Very Low
Low
Neutral
High
Very High
Before
Very Low
Low
Neutral
High
Very High
After
Very Low
Low
Neutral
High
Very High
Describe current and emerging treatment pathways to optimize the management of patients with heart failure with preserved ejection fraction
Very Low
Low
Neutral
High
Very High
Before
Very Low
Low
Neutral
High
Very High
After
Very Low
Low
Neutral
High
Very High
Assessment of Faculty
Using a scale of poor to excellent, please rate the effectiveness of each speaker.
Poor
Fair
Good
Very Good
Excellent
Dr. Kim Connelly (Co-Chair)
Poor
Fair
Good
Very Good
Excellent
Dr. Sara Stafford (Co-Chair)
Poor
Fair
Good
Very Good
Excellent
Dr. Megha Poddar
Poor
Fair
Good
Very Good
Excellent
Assessment of Content and Delivery
Using a scale of strongly disagree to strongly agree, please rate each statement as it relates to the program's content and delivery.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The program met the stated learning objectives
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The program met my educational expectations
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The subject was relevant to my practice
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
This program allowed me to acquire new knowledge
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The information provided will contribute to the care of my patients
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I was provided adequate time for questions and interaction (25% of session)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Please indicate which topic(s) should have been addressed and/or more carefully covered - if any.
Additional Feedback
From what you have learned, what will you be able to apply to your practice? What potential barriers do you anticipate and how will you overcome them?
Key learnings that I will apply:
Potential barriers and solutions to overcome them:
Please indicate which CanMEDS role(s) you felt were addressed during this educational activity. Check all that apply:
Medical Expert
Scholar
Collaborator
Communicator
Manager
Professional
Health Advocate
Did you perceive any sources of commercial bias during the program?
Yes
No
If yes, please explain why:
Please list any topics you would recommend for future programs:
Please share any additional comments:
Thank you!