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* 1. ID Number (Internal use only leave blank)

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* 2. Name

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* 3. Contact Information

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* 4. Credentials

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* 5. Treatment Demonstration Grant Updates: Rosemary Britt

  5 4 3 2 1
Were the session objectives balanced and free of commercial bias?
Was an announcement made that MNA/ANCC does not endorse or approve any commercial products?
Did you receive a handout of the activity disclosures, were activity disclosures made prior to the start of the activity, and/or were you able to view the activity disclosures on the conference website or app prior to the activity?
Describe the benefits of hydroxyurea for individuals with sickle cell
Describe the benefits of monthly blood transfusion for individuals with sickle cell
Compare the problems and risks associated with hydroxyurea and monthly transfusion treatment
Facilities were conducive to learning
Content was relevant to the objectives
Content was consistent with the stated program objectives/goals
The objectives for the session were achieved
Audiovisual/handout materials were effective
Was knowledgeable about the topic area
Had an effective presentation style
Used appropriate teaching strategies
Presented clearly and concisely
Content will be useful in my clinical practice

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* 6. Newborn Screening Grant Update: Kathy Norcott

  5 4 3 2 1
Were the session objectives balanced and free of commercial bias?
Was an announcement made that MNA/ANCC does not endorse or approve any commercial products?
Did you receive a handout of the activity disclosures, were activity disclosures made prior to the start of the activity, and/or were you able to view the activity disclosures on the conference website or app prior to the activity?
Define health literacy, and obstacles in achieving optimal health literacy in the sickle cell population
Describe challenges with medication/ treatment adherence in adults with sickle cell disease
Identify strategies to improve medication compliance in adults with sickle cell disease
Facilities were conducive to learning
Content was relevant to the objectives
Content was consistent with the stated program objectives/goals
The objectives for the session were achieved
Audiovisual/handout materials were effective
Was knowledgeable about the topic area
Had an effective presentation style
Used appropriate teaching strategies
Presented clearly and concisely
Content will be useful in my clinical practice

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* 7. PICORI Grant Update: Mary Lamar

  5 4 3 2 1
Were the session objectives balanced and free of commercial bias?
Was an announcement made that MNA/ANCC does not endorse or approve any commercial products?
Did you receive a handout of the activity disclosures, were activity disclosures made prior to the start of the activity, and/or were you able to view the activity disclosures on the conference website or app prior to the activity?
To share how the mission of the Patient Centered Outcomes Research Institute relates to the sickle cell community on a grassroots level
To leave attendees with knowledge of how they can get involved in PCORI
To give an overview of The Sickle Cell Association of New Jersey's experience with the PCORI P2P Tier's I. II & III Project and the SCDAA's Eugene Washington Award NSCAN Project
Facilities were conducive to learning
Content was relevant to the objectives
Content was consistent with the stated program objectives/goals
The objectives for the session were achieved
Audiovisual/handout materials were effective
Was knowledgeable about the topic area
Had an effective presentation style
Used appropriate teaching strategies
Presented clearly and concisely
Content will be useful in my clinical practice

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* 8. Sickle Cell Basics: Wanda Whitten-Shurney, MD

  5 4 3 2 1
Were the session objectives balanced and free of commercial bias?
Was an announcement made that MNA/ANCC does not endorse or approve any commercial products?
Did you receive a handout of the activity disclosures, were activity disclosures made prior to the start of the activity, and/or were you able to view the activity disclosures on the conference website or app prior to the activity?
Explain pathophysiology of Sickle Cell Disease (SCD).
Explain Genetics associated with SCD
Explain SCD Treatments
Explain possible cures and research advances.
Explain racial and geo-graphical distribution of SCD.
Explain psychosocial issues related to SCD.
Facilities were conducive to learning
Content was relevant to the objectives
Content was consistent with the stated program objectives/goals
The objectives for the session were achieved
Audiovisual/handout materials were effective
Was knowledgeable about the topic area
Had an effective presentation style
Used appropriate teaching strategies
Presented clearly and concisely
Content will be useful in my clinical practice

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* 9. Developing my Healthcare Passport: Andre Harris

  5 4 3 2 1
Were the session objectives balanced and free of commercial bias?
Was an announcement made that MNA/ANCC does not endorse or approve any commercial products?
Did you receive a handout of the activity disclosures, were activity disclosures made prior to the start of the activity, and/or were you able to view the activity disclosures on the conference website or app prior to the activity?
The Learner will be able to understand the importance of a healthcare passport
The Learner will be able to know how to gather appropriate information to include in their healthcare passport
The Learner will be able to know how to use and successful communicate information found on the passport
Facilities were conducive to learning
Content was relevant to the objectives
Content was consistent with the stated program objectives/goals
The objectives for the session were achieved
Audiovisual/handout materials were effective
Was knowledgeable about the topic area
Had an effective presentation style
Used appropriate teaching strategies
Presented clearly and concisely
Content will be useful in my clinical practice

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* 10. Hydroxyurea and Transfusions: Andrew Campbell, MD

  5 4 3 2 1
Were the session objectives balanced and free of commercial bias?
Was an announcement made that MNA/ANCC does not endorse or approve any commercial products?
Did you receive a handout of the activity disclosures, were activity disclosures made prior to the start of the activity, and/or were you able to view the activity disclosures on the conference website or app prior to the activity?
Describe the indications for the use of Hydroxyurea in Sickle Cell Disease
Describe the indications for Acute and Chronic Blood Transfusions in Sickle Cell Disease
Understand the common complications associated Blood Transfusions and Hydroxyurea
Facilities were conducive to learning
Content was relevant to the objectives
Content was consistent with the stated program objectives/goals
The objectives for the session were achieved
Audiovisual/handout materials were effective
Was knowledgeable about the topic area
Had an effective presentation style
Used appropriate teaching strategies
Presented clearly and concisely
Content will be useful in my clinical practice

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* 11. Effective Transition: Leila Jerome Clay, MD, MCTS

  5 4 3 2 1
Were the session objectives balanced and free of commercial bias?
Was an announcement made that MNA/ANCC does not endorse or approve any commercial products?
Did you receive a handout of the activity disclosures, were activity disclosures made prior to the start of the activity, and/or were you able to view the activity disclosures on the conference website or app prior to the activity?
Discuss the need for transitioning from pediatric to adult health care in Sickle Cell Disease
Got Transition: 6 Core Elements
Discuss the incorporation of a Transition assessment in a SCD Transition Program
Facilities were conducive to learning
Content was relevant to the objectives
Content was consistent with the stated program objectives/goals
The objectives for the session were achieved
Audiovisual/handout materials were effective
Was knowledgeable about the topic area
Had an effective presentation style