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7th Annual ICJR Revision Hip & Knee Course
Course Evaluation Survey
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1.
Please provide your contact information.
(Required.)
Full Name:
Degree:
Email Address:
Phone Number:
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2.
Check appropriate title.
(Required.)
Physician
Physician's Assistant
Nurse Practitioner/Registered Nurse
Other (please specify)
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3.
Please rate your overall satisfaction with the organization of this meeting.
(Required.)
Excellent
Good
Average
Fair
Poor
Other (please specify)
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4.
The ACCME defines commercial bias as presentations giving an unbalanced view of therapeutic options by promoting a specific proprietary business interest of a commercial interest.
Was this CME course free of commercial bias?
(Required.)
Yes
No
If no, please explain
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5.
Did the faculty disclose significant relationships with commercial support?
(One or more of these methods: Syllabus / Opening Remarks / Verbally / On Slides)
(Required.)
Yes
No
6.
Please rate the quality of the meeting facilities.
Excellent
Good
Average
Fair
Poor
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7.
How well were the ICJR Revision Hip & Knee Course objectives met?
Upon completion of the course participants should be able to:
(Required.)
Significantly Met
Somewhat Met
Not Met
Discuss clinical, radiographic, and laboratory evaluation of a patient who presents with a painful or failed THA, hemiarthroplasty, hip resurfacing, TKA, UKA, or patellofemoral arthroplasty
Significantly Met
Somewhat Met
Not Met
Evaluate sources of pain to establish a differential diagnosis and discuss appropriate treatment options
Significantly Met
Somewhat Met
Not Met
Identify potential preoperative problems and challenges and prepare an appropriate preoperative plan, including evaluation of safety of surgical intervention, anticipated blood loss, necessary implants, bone grafts, removal tools, etc., when revision surgery is indicated
Significantly Met
Somewhat Met
Not Met
Compare and contrast extensile exposure options and options to safely and effectively remove existing prosthetic devices, while minimizing blood and bone loss and avoiding compromise of motor function, neurovascular injury, or infection
Significantly Met
Somewhat Met
Not Met
Discuss the principles necessary to obtain fixation and restore joint stability, kinematics, and function
Significantly Met
Somewhat Met
Not Met
Demonstrate removing well-fixed components and cement from cadaveric specimens in addition to extensile approaches, including the extended trochanteric osteotomy and the tibial tubercle osteotomy
Significantly Met
Somewhat Met
Not Met
Evaluate reconstructive options that allow management of bone loss with restoration
Significantly Met
Somewhat Met
Not Met
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8.
Did you meet your personal goal/objective for what you intended to get out of this course?
(Required.)
Significantly Met
Somewhat Met
Not Met
We encourage you to expand on your answer below:
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9.
Do you intend to integrate what you learned at this conference into your current practice?
(Required.)
This activity validated my current practice; no changes will be made.
Create/revise protcols, policies and/or procedures.
Change the management and/or treatment of my patients.
Other, please specify
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10.
Please rate the relevance of this program to your scope of practice:
(Required.)
Very Relevant
Relevant
Somewhat Relevant
Not Very Relevant
Irrelevant
Please explain:
11.
Based on your CME needs, please give suggestions for future program topics/formats.
12.
What barriers do you foresee that may hinder your implementation of changes learned at this activity? What educational strategies could help to overcome these barriers?
13.
What do you see as your BIGGEST challenge in improving patient safety, patient care and/or patient outcomes? What educational strategies could help to overcome this challenge?
14.
How did you hear about this CME Program? Check all that apply
Past Participant
Faculty
Flyer/Mailer
Brochure
Email
Orthopedics Today Advertisement
Social Media (Facebook/Twitter)
Referral (Please list below)
Other (please specify)
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15.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The Foundation for Orthopaedic Research & Education (FORE) and International Congress for Joint Reconstruction (ICJR).
FORE is accredited by the ACCME to provide continuing medical education for physicians. FORE designates this live activity for a maximum of 15.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Please attest to the number of credit hours you've earned below. (min. 0.25- max 15.5)
(Required.)
