Health Systems for a Tobacco-Free New York Statewide Collaborative Conference Call Evaluation for "An Interdisciplinary Approach to Treating Tobacco Dependence for Persons with Comorbid Behavioral Health and Primary Care Conditions"

June 1, 2016 from 12:00pm-1:00pm (EST)

Instructions: To obtain CME, CASAC , CPP , or CPS continuing education credits or a certificate of attendance, complete this Evaluation via SurveyMonkey in order to obtain course credit. Respondent's information will be held confidential. Certificates will be mailed within 6-8 weeks of the call date.

Presented by:

Chad Morris, PhD, Associate Professor, University of Colorado Anschutz Medical Campus

Donna Richardson, LCSW, LCADC, Instructor, School of Public Health, Rutgers University

Maria Feo, BSN, RN-BC, CTTS, Heart & Vascular Care Coordinator-Hunterdon Healthcare

Objectives:
• Describe at least two clinical examples of an interdisciplinary approach to tobacco use and dependence treatment.
• Discuss the effectiveness of organizational, psychosocial, and pharmacologic tobacco cessation and wellness strategies.
• Cite at least two unique treatment perspectives addressing facets of the patients’ complex care needs.

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* 1. Please rate the following using a scale of 1 to 4, with 1 representing poor and 4 representing excellent

	1	2	3	4
Content of the presentation	Content of the presentation 1	Content of the presentation 2	Content of the presentation 3	Content of the presentation 4
Program accomplished the stated objectives	Program accomplished the stated objectives 1	Program accomplished the stated objectives 2	Program accomplished the stated objectives 3	Program accomplished the stated objectives 4
Teaching methods and aids were appropriate and used effectively	Teaching methods and aids were appropriate and used effectively 1	Teaching methods and aids were appropriate and used effectively 2	Teaching methods and aids were appropriate and used effectively 3	Teaching methods and aids were appropriate and used effectively 4
Overall quality of the program	Overall quality of the program 1	Overall quality of the program 2	Overall quality of the program 3	Overall quality of the program 4
The program provided information and knowledge that may be pertinent to your practice and patient care	The program provided information and knowledge that may be pertinent to your practice and patient care 1	The program provided information and knowledge that may be pertinent to your practice and patient care 2	The program provided information and knowledge that may be pertinent to your practice and patient care 3	The program provided information and knowledge that may be pertinent to your practice and patient care 4
The teaching effectiveness of the presenter: Chad Morris, PhD	The teaching effectiveness of the presenter: Chad Morris, PhD 1	The teaching effectiveness of the presenter: Chad Morris, PhD 2	The teaching effectiveness of the presenter: Chad Morris, PhD 3	The teaching effectiveness of the presenter: Chad Morris, PhD 4
The teaching effectiveness of the presenter: Donna Richardson, LCSW, LCADC	The teaching effectiveness of the presenter: Donna Richardson, LCSW, LCADC 1	The teaching effectiveness of the presenter: Donna Richardson, LCSW, LCADC 2	The teaching effectiveness of the presenter: Donna Richardson, LCSW, LCADC 3	The teaching effectiveness of the presenter: Donna Richardson, LCSW, LCADC 4
The teaching effectiveness of the presenter: Maria Feo, BSN, RN-BC, CTTS	The teaching effectiveness of the presenter: Maria Feo, BSN, RN-BC, CTTS 1	The teaching effectiveness of the presenter: Maria Feo, BSN, RN-BC, CTTS 2	The teaching effectiveness of the presenter: Maria Feo, BSN, RN-BC, CTTS 3	The teaching effectiveness of the presenter: Maria Feo, BSN, RN-BC, CTTS 4

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* 2. What percentage of information was new to you?

0-20%

21-40%

41-60%

61-80%

81-100%

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* 3. As a result of attending this presentation:

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* 4. Continuing education presentations must be “free of commercial bias for or against” any product. Was this program fair, balanced, and free of commercial bias?

Yes

If no, please explain

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* 5. The provider of the activity has disclosed in writing or verbally the conflict of interest, or lack thereof, declared by the planners and presenters/content specialists.

Yes

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* 6. Suggestions for future topics/improvements:

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* 7. Please fill out the information below:

Name *

Company *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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* 8. Please only chose one

CME credit

OASAS Education and clock hours

Certificate of Completion

CRCE: Please provide AARC number below

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* 9. Name (Electronic Signature, Mandatory for course credit)

Thank you for participating in this Collaborative Call.