2022 COA QME Course (Thursday)

Thursday, April 7

Program Evaluation and Record of Attendance

To receive verification of your attendance and CME hours, COMPLETE this evaluation form.

Question Title

1. Address (Required.)

Name

Email Address

Question Title

2. DWC QME Training Module

	Poor	Fair	Satisfactory	Good	Excellent
Peter Mandell, M.D. (Moderator)	Peter Mandell, M.D. (Moderator) Poor	Peter Mandell, M.D. (Moderator) Fair	Peter Mandell, M.D. (Moderator) Satisfactory	Peter Mandell, M.D. (Moderator) Good	Peter Mandell, M.D. (Moderator) Excellent
George Parisotto, DWC AD	George Parisotto, DWC AD Poor	George Parisotto, DWC AD Fair	George Parisotto, DWC AD Satisfactory	George Parisotto, DWC AD Good	George Parisotto, DWC AD Excellent

Question Title

3. Perfecting Your Medical-Legal Report

	Poor	Fair	Satisfactory	Good	Excellent
Paul Wakim, DO (Moderator)	Paul Wakim, DO (Moderator) Poor	Paul Wakim, DO (Moderator) Fair	Paul Wakim, DO (Moderator) Satisfactory	Paul Wakim, DO (Moderator) Good	Paul Wakim, DO (Moderator) Excellent
Paul Wakim, DO	Paul Wakim, DO Poor	Paul Wakim, DO Fair	Paul Wakim, DO Satisfactory	Paul Wakim, DO Good	Paul Wakim, DO Excellent
Judge Robert Rassp	Judge Robert Rassp Poor	Judge Robert Rassp Fair	Judge Robert Rassp Satisfactory	Judge Robert Rassp Good	Judge Robert Rassp Excellent

Question Title

4. Cognitive Bias in Clinical Reasoning

	Poor	Fair	Satisfactory	Good	Excellent
Lesley Anderson, M.D. (Moderator)	Lesley Anderson, M.D. (Moderator) Poor	Lesley Anderson, M.D. (Moderator) Fair	Lesley Anderson, M.D. (Moderator) Satisfactory	Lesley Anderson, M.D. (Moderator) Good	Lesley Anderson, M.D. (Moderator) Excellent
Eric Strong, M.D.	Eric Strong, M.D. Poor	Eric Strong, M.D. Fair	Eric Strong, M.D. Satisfactory	Eric Strong, M.D. Good	Eric Strong, M.D. Excellent

Question Title

5. A Walk-Through the Evaluation of an Upper Extremity Injury

	Poor	Fair	Satisfactory	Good	Excellent
Richard Braun, M.D.	Richard Braun, M.D. Poor	Richard Braun, M.D. Fair	Richard Braun, M.D. Satisfactory	Richard Braun, M.D. Good	Richard Braun, M.D. Excellent

Question Title

6. Simplexam Sponsored Educational Session

	Poor	Fair	Satisfactory	Good	Excellent
Brock Curry	Brock Curry Poor	Brock Curry Fair	Brock Curry Satisfactory	Brock Curry Good	Brock Curry Excellent

Question Title

7. Update on New Case Law

	Poor	Fair	Satisfactory	Good	Excellent
Paul Wakim, DO	Paul Wakim, DO Poor	Paul Wakim, DO Fair	Paul Wakim, DO Satisfactory	Paul Wakim, DO Good	Paul Wakim, DO Excellent
Judge Robert Rassp	Judge Robert Rassp Poor	Judge Robert Rassp Fair	Judge Robert Rassp Satisfactory	Judge Robert Rassp Good	Judge Robert Rassp Excellent

Question Title

8. Peer-to-Peer Review - Why Do Them or Not

	Poor	Fair	Satisfactory	Good	Excellent
Orrin Franko, M.D.	Orrin Franko, M.D. Poor	Orrin Franko, M.D. Fair	Orrin Franko, M.D. Satisfactory	Orrin Franko, M.D. Good	Orrin Franko, M.D. Excellent
Jeffrey Bogosian, M.D.	Jeffrey Bogosian, M.D. Poor	Jeffrey Bogosian, M.D. Fair	Jeffrey Bogosian, M.D. Satisfactory	Jeffrey Bogosian, M.D. Good	Jeffrey Bogosian, M.D. Excellent

Question Title

9. Billing Medical-Legal Evaluations

	Poor	Fair	Satisfactory	Good	Excellent
William Tappin,, JD	William Tappin,, JD Poor	William Tappin,, JD Fair	William Tappin,, JD Satisfactory	William Tappin,, JD Good	William Tappin,, JD Excellent

Educational Merit

Question Title

10. To what extent do you think you will 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.

Question Title

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

Yes

Question Title

* 1. Address (Required.)

Question Title

* 2. DWC QME Training Module

Question Title

* 3. Perfecting Your Medical-Legal Report

Question Title

* 4. Cognitive Bias in Clinical Reasoning

Question Title

* 5. A Walk-Through the Evaluation of an Upper Extremity Injury

Question Title

* 6. Simplexam Sponsored Educational Session

Question Title

* 7. Update on New Case Law

Question Title

* 8. Peer-to-Peer Review - Why Do Them or Not

Question Title

* 9. Billing Medical-Legal Evaluations

Question Title

* 10. To what extent do you think you will be able to apply the information from this meeting in your practice? (Required.)

Question Title

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

Question Title

* 12. What barriers do you see to implementing changes that you learned about during the presentations today: (Required.)

1. Address (Required.)

2. DWC QME Training Module

3. Perfecting Your Medical-Legal Report

4. Cognitive Bias in Clinical Reasoning

5. A Walk-Through the Evaluation of an Upper Extremity Injury

6. Simplexam Sponsored Educational Session

7. Update on New Case Law

8. Peer-to-Peer Review - Why Do Them or Not

9. Billing Medical-Legal Evaluations

10. To what extent do you think you will be able to apply the information from this meeting in your practice? (Required.)

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

12. What barriers do you see to implementing changes that you learned about during the presentations today: (Required.)