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AAP Lead ECHO Session #5 Evaluation
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1.
Session Date:
(Required.)
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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
No
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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?
Poor
Fair
Good
Very Good
Excellent
Opportunities to ask questions were:
Poor
Fair
Good
Very Good
Excellent
The pace of the session was:
Poor
Fair
Good
Very Good
Excellent
The organization of the didactic presenter's presentation was:
Poor
Fair
Good
Very Good
Excellent
The didactic presenter's ability to clearly communicate was:
Poor
Fair
Good
Very Good
Excellent
The relevance of the didactic presentation to this session's objective was:
Poor
Fair
Good
Very Good
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 ability to clearly communicate was:
Opportunities to ask questions were:
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6.
Do you feel that this session conveyed any commercial bias?
(Required.)
Yes
No
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
No
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
No
If yes, please explain
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.)
1 star
2 stars
3 stars
4 stars
5 stars
6 stars
7 stars
11.
What did you like best about the session?
12.
What did you like least about the session?
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
No