EVALUATION FORM

Episode Date: Tuesday, May 9, 2017

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* 2. Please indicate whether the information presented by the expert was clear and effective:

  Poor Fair Good Very Good Excellent
Dr. Alan Bell
Dr. Algis Jovaisas

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* 3. Did the presenter make a disclosure statement?

  Yes No Not Sure
Dr. Alan Bell
Dr. Algis Jovaisas

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* 4. Did you perceive any degree of bias in any part of the presentation?

  Yes No
Dr. Alan Bell
Dr. Algis Jovaisas

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* 5. Additional questions

  Strongly Disagree Disagree Neutral Agree Strongly Agree
This program allowed adequate time for interaction
The subject was relevant to my practice
The overall format was effective for learning

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* 6. From what you have learned, what will you be able to apply to your practice? What potential barriers do you anticipate and how will you overcome them?

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* 7. Please indicate which topics related to this program and therapeutic area that you would like to hear more about in the future:

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* 8. Indicate which CanMEDS roles you felt were addressed during this educational activity (Check all that apply)

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* 9. How did you hear about the iMedicus GP series?

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* 10. Did the activity respect the Quebec Code of Ethics – Conseil quebecois de developpement professional continu des medecins (CQDPCM) (www.cqdpcm.ca)

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* 11. Additional comments

T