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Course Summary Evaluation

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* 1. Participant:

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* 2. How many years Practice?

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* 3. Do you feel the activity was scientifically sound and free of commercial bias or influence?

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* 4. Did the speaker disclose to the audience any financial interest or other relationships the presenter has with the manufacturer or any commercial products discussed in this educational program?

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* 5. Or provide attendees with information that presenter(s)/planner(s) "have no relevant financial relationships" to dissolve?

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* 6. Please identify how you will change your practice as a result of attending this activity (select all that apply).

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* 7. Please indicate any barriers you perceive in implementing these changes. (Select all that apply)

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* 8. Will you attempt to address these barriers in order to implement changes in your competence, performance, and/pr patients' outcomes?

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* 9. Please indicate which of the following Accreditation Council for Graduate Medical Education/Institute of Medicine core competencies were addressed by this education activity.  (Select all that apply)

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* 10. Please describe any clinical situation that you find difficult to manage or resolve that you would like to see addressed in future educational activities:

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* 11. The content of this activity matched my current (or potential) scope of practice.

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* 12. Overall, were the speakers knowledgeable regarding the content?

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* 13. Overall, were the presenters balances, objective, and scientifically rigorous?

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* 14. Are you prompted to do more research on this topic?

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* 15. Please share any other comments you have below:

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* 16. Completion of this question denotes the same as if my electronic signature were affixed to this document. I attest to the completion of this educational activity.

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