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* 1. After participating in this activity, how confident are you in the management of patients with anemia with CKD in your practice?            

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* 2. What is your degree?

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* 3. How many years have you been in practice?

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* 4. How many patients with anemia with CKD do you manage?

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* 5. Please select the option that best describes your practice setting.

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

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

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* 8. Which new strategies/skills/information will you apply to your area of practice? Please select all that apply.

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

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* 10. Please rate your level of agreement by checking the appropriate rating

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

  Strongly agree Agree Neutral Disagree Strongly disagree
Summarize the prevalence of and burden associated with anemia in patients with CKD, particularly those who are hyporesponsive to ESA therapy
Articulate the pathogenic mechanisms involved in anemia associated with CKD, including the roles of inflammation, hepcidin, and the HIF pathway
Describe the clinical utility of measuring hepcidin levels in patients with anemia and CKD
Interpret outcomes from clinical trials evaluating the use of HIF-PHIs to treat anemia in patients with CKD

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* 11. Please rate your level of agreement by checking the appropriate rating.

Jay Wish, MD, effectively:

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

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* 12. The content presented:

  Strongly agree Agree Neutral Disagree Strongly disagree
Enhanced my current knowledge base
Addressed my most pressing questions
Promoted improvements or quality in health care
Was scientifically rigorous and evidence based
Avoided commercial bias or influence

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* 13. 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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* 14. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activity for anemia in CKD or related disease states

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

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