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2017 Annual Meeting- QME Course
Thursday May 18
Program Evaluation and Record of Attendance
To receive verification of your attendance and CME hours, COMPLETE this evaluation form.
1.
Address
Name
Email Address
2.
How Workers' Compensation MPN Physicians are Rated/Selected
Poor
Fair
Satisfactory
Good
Excellent
Kent Spafford, Harbor Health
Poor
Fair
Satisfactory
Good
Excellent
Lisa Forsythe, Coventry Health
Poor
Fair
Satisfactory
Good
Excellent
3.
Priorities of DWC in 2017
Poor
Fair
Satisfactory
Good
Excellent
Ray Meister, M.D. MPH
Poor
Fair
Satisfactory
Good
Excellent
George Parisotto
Poor
Fair
Satisfactory
Good
Excellent
4.
Using IT in Your Office to Improve Efficiency
Poor
Fair
Satisfactory
Good
Excellent
Leslie Kim, M.D.
Poor
Fair
Satisfactory
Good
Excellent
5.
How to Stay Out of Trouble and Keep Your QME Certification!
Poor
Fair
Satisfactory
Good
Excellent
Judge Colleen Casey
Poor
Fair
Satisfactory
Good
Excellent
Traci W. Hinden, Esq.
Poor
Fair
Satisfactory
Good
Excellent
Judge Myrle Petty (WCALJ)
Poor
Fair
Satisfactory
Good
Excellent
6.
Evidence Based Digital Rehabilitation and Recovery Solutions for Your Patients
Poor
Fair
Satisfactory
Good
Excellent
Michael Oberlander, M.D. Trainer Rx
Poor
Fair
Satisfactory
Good
Excellent
7.
Apportioning to Comorbidities – Spine, Upper & Lower Extremities
Poor
Fair
Satisfactory
Good
Excellent
Mark Melhorn, M.D
Poor
Fair
Satisfactory
Good
Excellent
8.
Improving Outcomes - Earlier Return to Work or How & Why Return to Work Affects My Practice
Poor
Fair
Satisfactory
Good
Excellent
Mark Melhorn, M.D
Poor
Fair
Satisfactory
Good
Excellent
9.
Apportionment/Causation - Evaluating Tough Cases - Learn from the Judge and Expert AMEs/QMEs
Poor
Fair
Satisfactory
Good
Excellent
Peter Mandell, M.D.
Poor
Fair
Satisfactory
Good
Excellent
Judge Colleen Casey
Poor
Fair
Satisfactory
Good
Excellent
Steven Isono, M.D.
Poor
Fair
Satisfactory
Good
Excellent
Richard Braun, M.D.
Poor
Fair
Satisfactory
Good
Excellent
Robert Bruckman, M.D.
Poor
Fair
Satisfactory
Good
Excellent
10.
m Current Changes in Workers’ Compensation Affecting Your Practice
Poor
Fair
Satisfactory
Good
Excellent
Lesley Anderson, M.D.
Poor
Fair
Satisfactory
Good
Excellent
Steven Feinberg, M.D., MPH
Poor
Fair
Satisfactory
Good
Excellent
Suzanne Honor-Vangerov, CPC
Poor
Fair
Satisfactory
Good
Excellent
Educational Merit
11.
Please rate the extent of your knowledge of the subject matter covered before and after this meeting;
No knowledge
Fair
Satisfactory
Good
Expert
Before the meeting
No knowledge
Fair
Satisfactory
Good
Expert
After the meeting
No knowledge
Fair
Satisfactory
Good
Expert
To what extent do you think you will be able to apply the information
from this meeting in your practice?
No knowledge
Fair
Satisfactory
Good
Expert
12.
Cultural Competency:
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity:
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
13.
Resources on cultural and linguistic competency have been included in the meeting presentations and materials. How can we further meet your educational needs in this area?
14.
What barriers do you see to implementing changes that you learned about during the presentations today: