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* 1. Which of the following best describes the impact of this activity on your performance?

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* 2. How committed are you to making changes in your practice based on your participation in this activity?

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* 3. As a result of your participation in this activity, what is the one change you are most likely to implement in your practice?

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* 4. What barriers do you see to making changes in your practice?

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* 5. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities:

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* 6. After participating in today’s activity, I am now able to:

  Strongly agree Agree Neutral Disagree Strongly disagree
Identify long-term treatment strategies to reduce hospital readmissions for COPD exacerbations
Review the clinical evidence regarding the efficacy and safety of long-acting maintenance regimens for COPD
Select medication delivery devices for patients with COPD based upon individual physical and cognitive characteristics
Outline a transitional care plan that promotes patient self-management to reduce the risk for future exacerbations and hospital readmissions

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* 7. Stanley B. Fiel, MD, effectively:

  Strongly agree Agree Neutral Disagree Strongly disagree
Presented the material
Avoided commercial bias

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* 8. Jose Luis Gonzalez, MD, effectively:

  Strongly agree Agree Neutral Disagree Strongly disagree
Presented the material
Avoided commercial bias

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* 9. If you indicated that you perceived commercial bias or influence, please describe:

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* 10. Would you be willing to participate in a postactivity follow-up survey?

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* 11. Would you like to be contacted about future educational activities in your area of practice?

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