AAP Lead ECHO Session Evaluation Survey

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2. Which of the following (Required.)

Physician (MD, DO)

Nurse Practioner

Physician Assistant

Nurse

Social Worker

Other (please specify)

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3. Were the individual learning objectives of this CME activity achieved? (Required.)

Yes

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4. Please rate the ECHO session on the statements (Required.)

	Poor	Fair	Good	Very Good	Excellent
How well did the session deliver balanced and objective, evidence-based content?	How well did the session deliver balanced and objective, evidence-based content? Poor	How well did the session deliver balanced and objective, evidence-based content? Fair	How well did the session deliver balanced and objective, evidence-based content? Good	How well did the session deliver balanced and objective, evidence-based content? Very Good	How well did the session deliver balanced and objective, evidence-based content? Excellent
Opportunities to ask questions were:	Opportunities to ask questions were: Poor	Opportunities to ask questions were: Fair	Opportunities to ask questions were: Good	Opportunities to ask questions were: Very Good	Opportunities to ask questions were: Excellent
The pace of the session was:	The pace of the session was: Poor	The pace of the session was: Fair	The pace of the session was: Good	The pace of the session was: Very Good	The pace of the session was: Excellent
The organization of the didactic presenter's presentation was:	The organization of the didactic presenter's presentation was: Poor	The organization of the didactic presenter's presentation was: Fair	The organization of the didactic presenter's presentation was: Good	The organization of the didactic presenter's presentation was: Very Good	The organization of the didactic presenter's presentation was: Excellent
The didactic presenter's ability to clearly communicate was:	The didactic presenter's ability to clearly communicate was: Poor	The didactic presenter's ability to clearly communicate was: Fair	The didactic presenter's ability to clearly communicate was: Good	The didactic presenter's ability to clearly communicate was: Very Good	The didactic presenter's ability to clearly communicate was: Excellent
The relevance of the didactic presentation to this session's objective was:	The relevance of the didactic presentation to this session's objective was: Poor	The relevance of the didactic presentation to this session's objective was: Fair	The relevance of the didactic presentation to this session's objective was: Good	The relevance of the didactic presentation to this session's objective was: Very Good	The relevance of the didactic presentation to this session's objective was: Excellent

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5. Please rate the Quality Improvement component of the ECHO (Required.)

	N/A	Poor	Fair	Good	Very Good
The relevance of the Quality Improvement presenter's presentation was:	The relevance of the Quality Improvement presenter's presentation was: N/A	The relevance of the Quality Improvement presenter's presentation was: Poor	The relevance of the Quality Improvement presenter's presentation was: Fair	The relevance of the Quality Improvement presenter's presentation was: Good	The relevance of the Quality Improvement presenter's presentation was: Very Good
The relevance of the Quality Improvement presenter's ability to clearly communicate was:	The relevance of the Quality Improvement presenter's ability to clearly communicate was: N/A	The relevance of the Quality Improvement presenter's ability to clearly communicate was: Poor	The relevance of the Quality Improvement presenter's ability to clearly communicate was: Fair	The relevance of the Quality Improvement presenter's ability to clearly communicate was: Good	The relevance of the Quality Improvement presenter's ability to clearly communicate was: Very Good
Opportunities to ask questions were:	Opportunities to ask questions were: N/A	Opportunities to ask questions were: Poor	Opportunities to ask questions were: Fair	Opportunities to ask questions were: Good	Opportunities to ask questions were: Very Good

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6. Do you feel that this session conveyed any commercial bias? (Required.)

Yes

If yes, please explain

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7. Based on what you learned in this activity, do you plan to change: The strategies you implement in practice (how you diagnose/manage patients, coordinate care, etc.) (Required.)

Yes

If yes, please explain

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8. Based on what you learned in this activity, do you plan to change: What you do in practice (how you perform exams, instruct, counsel patients/families.) (Required.)

Yes

If yes, please explain

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9. If no to questions above, and you do not plan to make changes, other than lack of time/resources, why not? Select all that apply

Systems related barriers

The activity reinforced what I am already doing in practice

No practice changes were recommended

Changes were not appropriate options for my practice

Other (please specify)

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10. On a scale of 1 to 7, what was your return on your investment of time/effort for participating (Required.)

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11. What did you like best about the session?

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12. What did you like least about the session?

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13. Please list any additional topics

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14. Are you a member of NAPNAP (National Association of Pediatric Nurse Practitoners)? (Required.)

Yes

AAP Lead ECHO Session Evaluation

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* 1. Session Date: (Required.)

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* 2. Which of the following (Required.)

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* 3. Were the individual learning objectives of this CME activity achieved? (Required.)

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* 4. Please rate the ECHO session on the statements (Required.)

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* 5. Please rate the Quality Improvement component of the ECHO (Required.)

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* 6. Do you feel that this session conveyed any commercial bias? (Required.)

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

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* 8. Based on what you learned in this activity, do you plan to change: What you do in practice (how you perform exams, instruct, counsel patients/families.) (Required.)

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* 9. If no to questions above, and you do not plan to make changes, other than lack of time/resources, why not? Select all that apply

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* 10. On a scale of 1 to 7, what was your return on your investment of time/effort for participating (Required.)

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* 11. What did you like best about the session?

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* 12. What did you like least about the session?

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* 13. Please list any additional topics

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* 14. Are you a member of NAPNAP (National Association of Pediatric Nurse Practitoners)? (Required.)

1. Session Date: (Required.)

2. Which of the following (Required.)

3. Were the individual learning objectives of this CME activity achieved? (Required.)

4. Please rate the ECHO session on the statements (Required.)

5. Please rate the Quality Improvement component of the ECHO (Required.)

6. Do you feel that this session conveyed any commercial bias? (Required.)

7. Based on what you learned in this activity, do you plan to change: The strategies you implement in practice (how you diagnose/manage patients, coordinate care, etc.) (Required.)

8. Based on what you learned in this activity, do you plan to change: What you do in practice (how you perform exams, instruct, counsel patients/families.) (Required.)

9. If no to questions above, and you do not plan to make changes, other than lack of time/resources, why not? Select all that apply

10. On a scale of 1 to 7, what was your return on your investment of time/effort for participating (Required.)

11. What did you like best about the session?

12. What did you like least about the session?

13. Please list any additional topics

14. Are you a member of NAPNAP (National Association of Pediatric Nurse Practitoners)? (Required.)