1. Preceptor Development Series: Integrating students into a busy practice

We are pleased that you participated in one of our AHEC educational programs. Please take the time to fill out this evaluation survey, so that we can improve future programs.

For continuing education certificates, completion and submission of evaluation is required. Continuing education certificates will be mailed to the participants.

* 1. Please provide your name and email address so that we may identify registrants that complete the evaluation survey for continuing education certificates. We will send reminder emails to those that do not complete the evaluation survey.

* 2. Your feedback is critical to meeting your educational needs. On a scale of 5 (Strongly agree) to 1 (Strongly disagree), please indicate the response that best represents your assessment of the following items.

  Strongly agree Agree Neutral Disagree Strongly disagree
1. As a result of the topic presented, I now have strategies to integrate students into a busy practice.
2. Teaching strategies were appropriate to the activity.
3. I feel confident teaching students on the activity content.
4. Future activities concerning the subject matter are necessary.
5. The format of the activity allowed me to achieve my desired results.
6. Compared to other CME activities that I have participated in the past year, this activity was an excellent CME opportunity.
7. This educational activity addressed competencies identified by my specialty.

* 3. What is your overall percent satisfaction?

* 4. As a result of this activity, list new strategies you will incorporate into your teaching.

* 5. Additionally, I plan to make the following changes in teaching: (check all that apply)

* 6. This activity will assist in the improvement of my (check all that apply):

* 7. Assess the change in your clinical skill level (1=low and 5=high).

  1 2 3 4 5
skill level before the course
skill level after the course
Rate your level of mastery of the material

* 8. Will the skills obtained during this course positively affect your teaching?

* 9. What are the barriers you face in your current practice setting that may impact patient care (check all that apply):

* 10. List CME topics that would benefit your practice:

* 11. Did the program contain anything that reflected commercial bias?

* 12. Were the faculty relationships disclosed during the course?

* 13. Did you participate in the AHEC/HealthTecDL program from your organization's facilities?

* 14. If yes, were there other individuals who viewed the presentation with you?

* 15. If yes, and they were not pre-registered, please provide the names and email addresses of these people, so we may have a complete record of participants.

* 16. Did the format of the program / activity allow you to achieve your desired results?

* 17. How do you rate the quality of instruction?

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Instructional materials were well organized.
Instructional methods illustrated the concepts well.
If slides were presented, they will be useful references.
References and resources provided will assist me.

* 18. How do you rate the quality of presentation?

  Strongly Disagree Disagree Neutral Agree Strongly Agree
Presenter was clear and to the point.
Presenter demonstrated mastery of the topic.
Methods used to present the materials held my attention.
Presenter was responsive to questions.