The Role of the Family Physician in Achieving Optimal Outcomes in Moderate to Severe Atopic Evaluation (ID: i739a) Survey

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* 1. Following your participation in this activity, how confident are you in the management of patients with AD in your practice?

Very confident

Confident

Neutral

Little confidence

No confidence

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* 2. How committed are you to making changes in your practice based on your participation in this activity?

Very committed

Committed

Neutral

Not committed

I do not plan to make changes.

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* 3. What is your degree?

MD/DO

Other (please specify)

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* 4. How many patients with AD do you currently manage in your practice? Please respond with your best appropriate number.

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* 5. How many years have you been in practice?

1-10

11-20

≥21

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* 6. As a result of participating in this activity, will you change components of your communication with patients with AD? If so, please describe changes.

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* 7. Which of the following best describes the impact of this activity on your performance?

I gained new strategies/skills/information that I can apply to my area of practice

I need more information before I change my practice behavior

This activity will not change my practice, as my current practice is consistent with theinformation presented

This activity will not change my practice, as I do not agree with the information presented

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* 8. After participating in today’s activity, I am now able to:

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
Utilize updated criteria and guidelines to accurately diagnose AD	Utilize updated criteria and guidelines to accurately diagnose AD Strongly agree	Utilize updated criteria and guidelines to accurately diagnose AD Agree	Utilize updated criteria and guidelines to accurately diagnose AD Neutral	Utilize updated criteria and guidelines to accurately diagnose AD Disagree	Utilize updated criteria and guidelines to accurately diagnose AD Strongly disagree
Assess and document disease severity in individual patients	Assess and document disease severity in individual patients Strongly agree	Assess and document disease severity in individual patients Agree	Assess and document disease severity in individual patients Neutral	Assess and document disease severity in individual patients Disagree	Assess and document disease severity in individual patients Strongly disagree
Review updated guidelines and evaluate available clinical data for therapies utilized in the treatment of AD	Review updated guidelines and evaluate available clinical data for therapies utilized in the treatment of AD Strongly agree	Review updated guidelines and evaluate available clinical data for therapies utilized in the treatment of AD Agree	Review updated guidelines and evaluate available clinical data for therapies utilized in the treatment of AD Neutral	Review updated guidelines and evaluate available clinical data for therapies utilized in the treatment of AD Disagree	Review updated guidelines and evaluate available clinical data for therapies utilized in the treatment of AD Strongly disagree
Describe indications for specialist referral of patients with AD and review best practices for co-management of moderate to severe disease with specialist physicians	Describe indications for specialist referral of patients with AD and review best practices for co-management of moderate to severe disease with specialist physicians Strongly agree	Describe indications for specialist referral of patients with AD and review best practices for co-management of moderate to severe disease with specialist physicians Agree	Describe indications for specialist referral of patients with AD and review best practices for co-management of moderate to severe disease with specialist physicians Neutral	Describe indications for specialist referral of patients with AD and review best practices for co-management of moderate to severe disease with specialist physicians Disagree	Describe indications for specialist referral of patients with AD and review best practices for co-management of moderate to severe disease with specialist physicians Strongly disagree

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* 9. Eric L. Simpson, MD, MCR, effectively:

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
Presented the material	Presented the material Strongly agree	Presented the material Agree	Presented the material Neutral	Presented the material Disagree	Presented the material Strongly disagree
Avoided commercial bias	Avoided commercial bias Strongly agree	Avoided commercial bias Agree	Avoided commercial bias Neutral	Avoided commercial bias Disagree	Avoided commercial bias Strongly disagree

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* 10. The content presented:

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
Enhanced my current knowledge base	Enhanced my current knowledge base Strongly agree	Enhanced my current knowledge base Agree	Enhanced my current knowledge base Neutral	Enhanced my current knowledge base Disagree	Enhanced my current knowledge base Strongly disagree
Addressed my most pressing questions	Addressed my most pressing questions Strongly agree	Addressed my most pressing questions Agree	Addressed my most pressing questions Neutral	Addressed my most pressing questions Disagree	Addressed my most pressing questions Strongly disagree
Promoted improvements or quality in health care	Promoted improvements or quality in health care Strongly agree	Promoted improvements or quality in health care Agree	Promoted improvements or quality in health care Neutral	Promoted improvements or quality in health care Disagree	Promoted improvements or quality in health care Strongly disagree
Was scientifically rigorous and evidence based	Was scientifically rigorous and evidence based Strongly agree	Was scientifically rigorous and evidence based Agree	Was scientifically rigorous and evidence based Neutral	Was scientifically rigorous and evidence based Disagree	Was scientifically rigorous and evidence based Strongly disagree

The Role of the Family Physician in Achieving Optimal Outcomes in Moderate to Severe Atopic Evaluation (ID: i739a)

Question Title

* 1. Following your participation in this activity, how confident are you in the management of patients with AD in your practice?

Question Title

* 2. How committed are you to making changes in your practice based on your participation in this activity?

Question Title

* 3. What is your degree?

Question Title

* 4. How many patients with AD do you currently manage in your practice? Please respond with your best appropriate number.

Question Title

* 5. How many years have you been in practice?

Question Title

* 6. As a result of participating in this activity, will you change components of your communication with patients with AD? If so, please describe changes.

Question Title

* 7. Which of the following best describes the impact of this activity on your performance?

Question Title

* 8. After participating in today’s activity, I am now able to:

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* 9. Eric L. Simpson, MD, MCR, effectively:

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* 10. The content presented:

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* 11. What barriers do you see to making changes in your practice?

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* 12. Please list any clinical issues/problems within your scope of practice you would like to see addressed in future educational activities:

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* 13. If you indicated that you perceived commercial bias or influence, please describe: