2019 Concurrent Session: Decision Making Using Evidence-Based Information for Crucial Conversations EVALUATION FORM In order to improve the quality of our next program, we would appreciate receiving your feedback. Please feel free to make comments. We thank you for your cooperation. Question Title * 1. On a scale of 1 (poor) to 5 (excellent), how well were you able to achieve the session objectives? 1 2 3 4 5 N/A A. Relate the importance of evidence-based information in informed consent and shared decision making. A. Relate the importance of evidence-based information in informed consent and shared decision making. 1 A. Relate the importance of evidence-based information in informed consent and shared decision making. 2 A. Relate the importance of evidence-based information in informed consent and shared decision making. 3 A. Relate the importance of evidence-based information in informed consent and shared decision making. 4 A. Relate the importance of evidence-based information in informed consent and shared decision making. 5 A. Relate the importance of evidence-based information in informed consent and shared decision making. N/A B. Discuss three case studies looking at quality of care, evidence-based informed consent and communication. B. Discuss three case studies looking at quality of care, evidence-based informed consent and communication. 1 B. Discuss three case studies looking at quality of care, evidence-based informed consent and communication. 2 B. Discuss three case studies looking at quality of care, evidence-based informed consent and communication. 3 B. Discuss three case studies looking at quality of care, evidence-based informed consent and communication. 4 B. Discuss three case studies looking at quality of care, evidence-based informed consent and communication. 5 B. Discuss three case studies looking at quality of care, evidence-based informed consent and communication. N/A C. Identify areas for improvement in the case study scenarios. C. Identify areas for improvement in the case study scenarios. 1 C. Identify areas for improvement in the case study scenarios. 2 C. Identify areas for improvement in the case study scenarios. 3 C. Identify areas for improvement in the case study scenarios. 4 C. Identify areas for improvement in the case study scenarios. 5 C. Identify areas for improvement in the case study scenarios. N/A Question Title * 2. On a scale of 1 (poor) to 5 (excellent), please rate the TEACHING EFFECTIVENESS of the presenter. 1 2 3 4 5 N/A A. Cheryl Bradshaw, RN, BSN, IBCLC A. Cheryl Bradshaw, RN, BSN, IBCLC 1 A. Cheryl Bradshaw, RN, BSN, IBCLC 2 A. Cheryl Bradshaw, RN, BSN, IBCLC 3 A. Cheryl Bradshaw, RN, BSN, IBCLC 4 A. Cheryl Bradshaw, RN, BSN, IBCLC 5 A. Cheryl Bradshaw, RN, BSN, IBCLC N/A B. Jenny Fardink, BSM, LM/CPM-TN B. Jenny Fardink, BSM, LM/CPM-TN 1 B. Jenny Fardink, BSM, LM/CPM-TN 2 B. Jenny Fardink, BSM, LM/CPM-TN 3 B. Jenny Fardink, BSM, LM/CPM-TN 4 B. Jenny Fardink, BSM, LM/CPM-TN 5 B. Jenny Fardink, BSM, LM/CPM-TN N/A C. Jackie Griggs, MSN, CNM, IBCLC C. Jackie Griggs, MSN, CNM, IBCLC 1 C. Jackie Griggs, MSN, CNM, IBCLC 2 C. Jackie Griggs, MSN, CNM, IBCLC 3 C. Jackie Griggs, MSN, CNM, IBCLC 4 C. Jackie Griggs, MSN, CNM, IBCLC 5 C. Jackie Griggs, MSN, CNM, IBCLC N/A D. Madi Grimes, CDM, CPM D. Madi Grimes, CDM, CPM 1 D. Madi Grimes, CDM, CPM 2 D. Madi Grimes, CDM, CPM 3 D. Madi Grimes, CDM, CPM 4 D. Madi Grimes, CDM, CPM 5 D. Madi Grimes, CDM, CPM N/A E. Cheryl Heitkamp, MS, APRN E. Cheryl Heitkamp, MS, APRN 1 E. Cheryl Heitkamp, MS, APRN 2 E. Cheryl Heitkamp, MS, APRN 3 E. Cheryl Heitkamp, MS, APRN 4 E. Cheryl Heitkamp, MS, APRN 5 E. Cheryl Heitkamp, MS, APRN N/A F. Mark Shwer, MD F. Mark Shwer, MD 1 F. Mark Shwer, MD 2 F. Mark Shwer, MD 3 F. Mark Shwer, MD 4 F. Mark Shwer, MD 5 F. Mark Shwer, MD N/A Question Title * 3. On a scale of 1 (poor) to 5 (excellent), please rate the effectiveness of the TEACHING METHODS used. 1 2 3 4 5 N/A 1 2 3 4 5 N/A Question Title * 4. On a scale of 1 (poor) to 5 (excellent), please rate how well was the PROGRAM MATERIAL ORGANIZED. 1 2 3 4 5 N/A 1 2 3 4 5 N/A Question Title * 5. On a scale of 1 (poor) to 5 (excellent), please rate the session OVERALL. 1 2 3 4 5 N/A 1 2 3 4 5 N/A Question Title * 6. What part of the program provided the most helpful information? Question Title * 7. What additional information would have been helpful? Question Title * 8. Additional comments Question Title * 9. Name (submit if applying for continuing education) Question Title * 10. Email (optional) SUBMIT