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* 1. First Name

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* 2. Last Name

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* 3. RACGP or ACRRM Number

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* 4. Please provide the name of your practice and which state you are located in (only if you are not currently working on the road with 13SICK, National Home Doctor Service).

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* 5. Please provide your email address so we can send you a certificate of completion.

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* 6. Please provide a contact number in case we have trouble uploading your points.

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* 7. Please rate to what degree the learning outcomes were met

  Entirely Met Partially Met Not Met
Describe the role of the after-hours doctor/service in treatment of people with chronic diseases
Identify management approaches to common problems with respect to chronic diseases that arise in the after hours period
List strategies to help patients support themselves in managing their chronic medical condition
Implement a checklist to avoid common pitfalls and improve patient safety related to presentations primarily associated with a chronic medical condition

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* 8. Please rate to what degree your learning needs were met

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* 9. This activity was relevant to your individual practice

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* 10. The presenter was knowledgeable and well-prepared

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* 11. The materials (e.g. PowerPoint presentation) were relevant, clear and helpful

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* 12. Comments?

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