Skip to content
2023 QME Course (Thursday)
Thursday, May 18
Program Evaluation and Record of Attendance
To receive verification of your attendance and CME hours, COMPLETE this evaluation form.
*
1.
Address
(Required.)
Name
Email Address
2.
Accuracy Can Be Crucial In Evaluation Reports and
Forms
Poor
Fair
Satisfactory
Good
Excellent
Ramon Jimenez, M.D.
Poor
Fair
Satisfactory
Good
Excellent
3.
Utilization of Grip Testing for Impairment
Poor
Fair
Satisfactory
Good
Excellent
Michael Klassen, M.D.
Poor
Fair
Satisfactory
Good
Excellent
4.
Managing the "Autopilot Mind" for Optimal Health
Poor
Fair
Satisfactory
Good
Excellent
David Ring, M.D.
Poor
Fair
Satisfactory
Good
Excellent
5.
DWC Initiatives Affecting QMEs & AMEs
Poor
Fair
Satisfactory
Good
Excellent
Raymond Meister, M.D.
Poor
Fair
Satisfactory
Good
Excellent
Ted Richards, JD
Poor
Fair
Satisfactory
Good
Excellent
Nicole Richardson, JD
Poor
Fair
Satisfactory
Good
Excellent
6.
Applying the Kite Decision - Here's How to Do It!
Poor
Fair
Satisfactory
Good
Excellent
Dirk Stemerman, JD
Poor
Fair
Satisfactory
Good
Excellent
Martin Guzman, JD
Poor
Fair
Satisfactory
Good
Excellent
7.
Simplexam - Being More Efficient in Generating Your Reports
Poor
Fair
Satisfactory
Good
Excellent
Brock Curry. Simplexam
Poor
Fair
Satisfactory
Good
Excellent
8.
Apportionment Pearls to Improve your Opinions and the Ratability of your Reports
Poor
Fair
Satisfactory
Good
Excellent
Raymond Correio, former
DWC Judge
Poor
Fair
Satisfactory
Good
Excellent
9.
Objectifying Pain in Disability Evaluations
Poor
Fair
Satisfactory
Good
Excellent
David Ring, M.D.
Poor
Fair
Satisfactory
Good
Excellent
10.
How to do Effective Telehealth in Musculoskeletal
Evaluations
Poor
Fair
Satisfactory
Good
Excellent
David Eisenhauer, DO
Poor
Fair
Satisfactory
Good
Excellent
Educational Merit
*
11.
To what extent will you be able to apply the information from this meeting in your practice?
(Required.)
I will be able to all of the new information in my practice.
I will be able to use about 25% of the new information in my practice.
I will be able to use about 50% of the new information in my practice.
I will be able to use more than 50% of the new information in my practice.
I will not be able to use the new information in my practice - not relevant to my sub-specialty practice.
*
12.
What will you do to implement the changes in your practices?
(Required.)
*
13.
This session increased my confidence in the management of my patients/practice or in performing the procedure(s) discussed:
(Required.)
Yes
No
*
14.
What barriers do you see to implementing changes that you learned about during the presentations today:
(Required.)