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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.
Learning Objectives
Using a scale of poor to excellent, please indicate your level of confidence in each learning objective as it relates to your knowledge, belief, or behavior, pre-program and post-program.
Recognize the increased burden of CV Risk and CVD in patients with T2D, and identify those in whom guideline-based risk reduction would be beneficial
Poor
Fair
Good
Very Good
Excellent
Before
Poor
Fair
Good
Very Good
Excellent
After
Poor
Fair
Good
Very Good
Excellent
Utilize clinical practice guidelines to understand the role of GLP-1 RAs and the benefits of early initiation in patients with T2D and CV risk
Poor
Fair
Good
Very Good
Excellent
Before
Poor
Fair
Good
Very Good
Excellent
After
Poor
Fair
Good
Very Good
Excellent
Review the practical patient management considerations of GLP-1RAs such as dosing, side effects, use in special populations, and the impact on other comorbidities
Poor
Fair
Good
Very Good
Excellent
Before
Poor
Fair
Good
Very Good
Excellent
After
Poor
Fair
Good
Very Good
Excellent
Presentations
Please indicate the level of clarity and effectiveness of the information presented by the speakers:
Poor
Fair
Good
Very Good
Excellent
Dr. Jeffrey Habert (Program Chair)
Poor
Fair
Good
Very Good
Excellent
Dr. Sandeep G. Aggarwal
Poor
Fair
Good
Very Good
Excellent
Dr. Akshay Jain
Poor
Fair
Good
Very Good
Excellent
Ms. Susie Jin
Poor
Fair
Good
Very Good
Excellent
Educational Deliverables
What portion of the program was MOST valuable to you? Why?
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?
Impact on my practice and key learnings that I will apply:
Potential barriers and solutions to overcome them:
Please indicate which topic(s) related to diabetes you would like to hear more about in the future:
Additional Feedback
Please indicate your response to the questions below by applying the following scale:
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The program met my educational expectations
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
This program allowed adequate time for interaction (min 25% of the session)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The subject was relevant to my practice
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Disclosure of potential conflicts of interest was clearly communicated by all speakers
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The program was well organized
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The educational content of the program was balanced and free of commercial or other inappropriate bias.
Yes
No
If no, please explain why:
Did this event adhere to CMA guidelines governing the relationship between physicians and industry?
Yes
No
If no, please explain why:
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
Please share any additional comments:
Thank you!