Thursday, May 18

Program Evaluation and Record of Attendance
To receive verification of your attendance and CME hours, COMPLETE this evaluation form.

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* 1. Address

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* 2. Accuracy Can Be Crucial In Evaluation Reports and
Forms

  Poor Fair Satisfactory Good Excellent
Ramon Jimenez, M.D.

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* 3. Utilization of Grip Testing for Impairment

  Poor Fair Satisfactory Good Excellent
Michael Klassen, M.D.

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* 4. Managing the "Autopilot Mind" for Optimal Health

  Poor Fair Satisfactory Good Excellent
David Ring, M.D.

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* 5. DWC Initiatives Affecting QMEs & AMEs

  Poor Fair Satisfactory Good Excellent
Raymond Meister, M.D.
Ted Richards, JD
Nicole Richardson, JD

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* 6. Applying the Kite Decision - Here's How to Do It!

  Poor Fair Satisfactory Good Excellent
Dirk Stemerman, JD
Martin Guzman, JD

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* 7. Simplexam - Being More Efficient in Generating Your Reports

  Poor Fair Satisfactory Good Excellent
Brock Curry. Simplexam

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* 8. Apportionment Pearls to Improve your Opinions and the Ratability of your Reports

  Poor Fair Satisfactory Good Excellent
Raymond Correio, former
DWC Judge

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* 9. Objectifying Pain in Disability Evaluations

  Poor Fair Satisfactory Good Excellent
David Ring, M.D.

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* 10. How to do Effective Telehealth in Musculoskeletal
Evaluations

  Poor Fair Satisfactory Good Excellent
David Eisenhauer, DO
Educational Merit

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* 11. To what extent will you be able to apply the information from this meeting in your practice?

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* 12. What will you do to implement the changes in your practices?

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* 13. This session increased my confidence in the management of my patients/practice or in performing the procedure(s) discussed:

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* 14. What barriers do you see to implementing changes that you learned about during the presentations today:

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