5th Annual Pediatric Puzzles CME Conference POST-CONFERENCE PROGRAM & SPEAKER EVALUATION Survey

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* 1. Full Name
(Please make sure to type it as you want it to appear on your certificate)

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* 2. AAP ID#
(If you are not an AAP member, write N/A)

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* 3. Type of practice or license

Physician MD

Physician DO

Nurse Practitioner

Nurse

Other

Other (please specify)

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* 4. Email address

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* 5. This live format educational program met my expectations for improving my knowledge of the topics presented.

Yes

Comments

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* 6. Advocacy & Children at the Border - Dr. Colleen Kraft

	Poor	Below Average	Average	Above Average	Excellent
Topic knowledge	Topic knowledge Poor	Topic knowledge Below Average	Topic knowledge Average	Topic knowledge Above Average	Topic knowledge Excellent
Ability to communicate	Ability to communicate Poor	Ability to communicate Below Average	Ability to communicate Average	Ability to communicate Above Average	Ability to communicate Excellent
Clarity of materials	Clarity of materials Poor	Clarity of materials Below Average	Clarity of materials Average	Clarity of materials Above Average	Clarity of materials Excellent
Relevance to my practice	Relevance to my practice Poor	Relevance to my practice Below Average	Relevance to my practice Average	Relevance to my practice Above Average	Relevance to my practice Excellent

Comments on Dr. Colleen Kraft's presentation: if you sensed personal or commercial bias please list that here also.

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* 7. Updates in Pediatric Dermatology - Dr. Pearl Kwong

	Poor	Below average	Average	Above Average	Excellent
Topic knowledge	Topic knowledge Poor	Topic knowledge Below average	Topic knowledge Average	Topic knowledge Above Average	Topic knowledge Excellent
Ability to communicate	Ability to communicate Poor	Ability to communicate Below average	Ability to communicate Average	Ability to communicate Above Average	Ability to communicate Excellent
Clarity of materials	Clarity of materials Poor	Clarity of materials Below average	Clarity of materials Average	Clarity of materials Above Average	Clarity of materials Excellent
Relevance to my practice	Relevance to my practice Poor	Relevance to my practice Below average	Relevance to my practice Average	Relevance to my practice Above Average	Relevance to my practice Excellent

Comments on Dr. Pearl Kwong's presentation: if you sensed personal or commercial bias please list that here also.

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* 8. Climate Change - Dr. Aparna Bole

	Poor	Below Average	Average	Above Average	Excellent
Topic knowledge	Topic knowledge Poor	Topic knowledge Below Average	Topic knowledge Average	Topic knowledge Above Average	Topic knowledge Excellent
Ability to communicate	Ability to communicate Poor	Ability to communicate Below Average	Ability to communicate Average	Ability to communicate Above Average	Ability to communicate Excellent
Clarity of materials	Clarity of materials Poor	Clarity of materials Below Average	Clarity of materials Average	Clarity of materials Above Average	Clarity of materials Excellent
Relevance to my practice	Relevance to my practice Poor	Relevance to my practice Below Average	Relevance to my practice Average	Relevance to my practice Above Average	Relevance to my practice Excellent

Comments on Dr. Aparna Bole's presentation: if you sensed personal or commercial bias please list that here also.

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* 9. Racism and Implicit Bias - Dr. Adiaha Spinks-Franklin

	Poor	Below Average	Average	Above Average	Excellent
Topic knowledge	Topic knowledge Poor	Topic knowledge Below Average	Topic knowledge Average	Topic knowledge Above Average	Topic knowledge Excellent
Ability to communicate	Ability to communicate Poor	Ability to communicate Below Average	Ability to communicate Average	Ability to communicate Above Average	Ability to communicate Excellent
Clarity of materials	Clarity of materials Poor	Clarity of materials Below Average	Clarity of materials Average	Clarity of materials Above Average	Clarity of materials Excellent
Relevance to my practice	Relevance to my practice Poor	Relevance to my practice Below Average	Relevance to my practice Average	Relevance to my practice Above Average	Relevance to my practice Excellent

Comments on Dr. Adiaha Spinks-Franklin's presentation: if you sensed personal or commercial bias please list that here also.

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* 10. Based on what you learned in this activity, do you plan to change:
(a) The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)?

Yes

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* 11. Based on what you learned in this activity, do you plan to change:
(b) What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)?

Yes

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* 12. If YES (to either of the above questions), please identify any changes in practice that you plan to make:

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* 13. If NO and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all that apply)

Systems-related barriers - please describe in the text box below

This activity reinforced what I am already doing in practice

No changes were recommended

Changes were not appropriate options for my practice

Other - please describe in text box below

Please describe:

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* 14. On a scale from 1 to 7, what was the return on your investment of time/effort for participating in this activity?

Low return

Medium return

High return

Low return

Medium return

High return

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* 15. Do you feel a commercial product, device, or service was inappropriately promoted in the educational content?

Yes

If yes, please comment:

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* 16. Were the learning objectives of this CME activity achieved?

Yes

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* 17. How would you rate your overall satisfaction with this CME activity?

Not Satisfied

Satisfied

Very Satisfied

Not Satisfied

Satisfied

Very Satisfied

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* 18. Did this conference address the effect of race, gender, disability or other risk factors pertaining to the topic?

Yes

If not, please comment:

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* 19. Would you recommend this activity to a colleague based on its impact on your practice/patient care?

Yes

Comments:

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* 20. What clinical practice areas do you believe should be addressed in future CME meetings? Please list areas about which you feel you need more education.

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* 21. Do you have any other comments?

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* 22. How did you hear about this conference?

Postcard

Word of Mouth

Previously Attended This Conference

Other

Other (please specify)

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* 1. Full Name(Please make sure to type it as you want it to appear on your certificate)

Question Title

* 2. AAP ID# (If you are not an AAP member, write N/A)

Question Title

* 3. Type of practice or license

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* 4. Email address

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* 5. This live format educational program met my expectations for improving my knowledge of the topics presented.

Question Title

* 6. Advocacy & Children at the Border - Dr. Colleen Kraft

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* 7. Updates in Pediatric Dermatology - Dr. Pearl Kwong

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* 8. Climate Change - Dr. Aparna Bole

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* 9. Racism and Implicit Bias - Dr. Adiaha Spinks-Franklin

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* 10. Based on what you learned in this activity, do you plan to change:(a) The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)?

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* 11. Based on what you learned in this activity, do you plan to change:(b) What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)?

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* 12. If YES (to either of the above questions), please identify any changes in practice that you plan to make:

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* 13. If NO and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all that apply)

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* 14. On a scale from 1 to 7, what was the return on your investment of time/effort for participating in this activity?

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* 15. Do you feel a commercial product, device, or service was inappropriately promoted in the educational content?

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* 16. Were the learning objectives of this CME activity achieved?

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* 17. How would you rate your overall satisfaction with this CME activity?

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* 18. Did this conference address the effect of race, gender, disability or other risk factors pertaining to the topic?

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* 19. Would you recommend this activity to a colleague based on its impact on your practice/patient care?

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* 20. What clinical practice areas do you believe should be addressed in future CME meetings? Please list areas about which you feel you need more education.

Question Title

* 21. Do you have any other comments?

Question Title

* 22. How did you hear about this conference?

* 1. Full Name
(Please make sure to type it as you want it to appear on your certificate)

* 2. AAP ID#
(If you are not an AAP member, write N/A)

* 10. Based on what you learned in this activity, do you plan to change:
(a) The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)?

* 11. Based on what you learned in this activity, do you plan to change:
(b) What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)?