Online Activity 2020 – Diabetes case studies: Evaluation / Certificate

Please complete the survey to evaluate the educational activity and receive a CME Certificate (physicians only) or a Certificate of Attendance (other learners). The Certificate of Attendance meets the continuing education requirements of many boards.
Questions with an asterisk are mandatory.

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* 1. What is your profession?

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* 2. I attest that I participated in this educational activity for the following amount of time:

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* 3. Please enter your full name (as you would like it to appear on your certificate)

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* 4. Email address (please type carefully as we use this email to send your certificate)

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* 5. Do you work for the Los Angeles County Health Agency?

Yes, Department of Public Health

Yes, Department of Health Services

Yes, Department of Mental Health

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* 6. I participated in the CME activity on:

Date

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* 7. How well were these learning objectives met?

	Fully Met	Somewhat Met	Not Met	N/A
1. List two examples of social determinants of health that may be identified by clinicians in the process of treating patients with Type 2 Diabetes.	1. List two examples of social determinants of health that may be identified by clinicians in the process of treating patients with Type 2 Diabetes. Fully Met	1. List two examples of social determinants of health that may be identified by clinicians in the process of treating patients with Type 2 Diabetes. Somewhat Met	1. List two examples of social determinants of health that may be identified by clinicians in the process of treating patients with Type 2 Diabetes. Not Met	1. List two examples of social determinants of health that may be identified by clinicians in the process of treating patients with Type 2 Diabetes. N/A
2. Describe one situation in which linking to a community resource can be an important part of the care plan for a patient with Type 2 Diabetes.	2. Describe one situation in which linking to a community resource can be an important part of the care plan for a patient with Type 2 Diabetes. Fully Met	2. Describe one situation in which linking to a community resource can be an important part of the care plan for a patient with Type 2 Diabetes. Somewhat Met	2. Describe one situation in which linking to a community resource can be an important part of the care plan for a patient with Type 2 Diabetes. Not Met	2. Describe one situation in which linking to a community resource can be an important part of the care plan for a patient with Type 2 Diabetes. N/A

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* 8. How likely are you to change your practice after participating in this educational activity?

Very Likely

Somewhat Likely

Not Likely

N/A-not related to my practice

Very Likely

Somewhat Likely

Not Likely

N/A-not related to my practice