Faculty disclosure of commercial support: In accordance with the Accreditation Council for Continuing Medical Education (ACCME) and the Minnesota Medical Association CME Policy:

Disclosure of Relevant Financial Relationships: None of the planners, providers and joint providers, or presenters for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. None of the planners or presenter for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Trade Name (s): NA
Off-Label use: NA

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1. Complete the contact information below

Please rate the following questions for this presentation:

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2. Please rate the following questions for the presentation:

  Excellent Very Good Good Fair Poor
The clarity and organization of the presentation was
The speaker's knowledge of the topic was
Practical application tomy practice/research

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3. Upon completion of this educational activity, the participant should be ablet to:

  Excellent Very Good Good Fair Poor
Name the top concerns and questions that parents and patients have about vaccines
Summarize the background and scientific consensus of each vaccine concern
Develop talking points for responding to parent and patient concerns

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4. Was the presentation free of commercial bias?
For the purpose of answering this question, please DO NOT consider a provider of clinical service directly to patients or exhibits/displays to reflect commercial bias. This is important for consistency in national data collection.

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5. If you feel there has been commercial bias, please explain:

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6. Knowledge change:

  Expert Very Knowledgeable Somewhat Knowledgeable Slightly Knowledgeable Novice
How would you rate your level of knowledge about the program content before you attended this program?
How would you rate your level of knowledge about the program content after you attended this program?

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7. Please rate the projected impact of this activity on yourknowledge, competence, performance, and patientoutcomes:

  Yes No No Change
This activity increased my knowledge.
(knowing what to do)
This activity increased my competence.
(knowing how to do something)
This activity increased my performance.
(ones actualbehavior inpractice)

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8. Indicate which of the following professional competency(s) was addressed by this educational activity: (select all that apply)

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9. Will the information presented cause you to make anychanges in your practice/research?

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10. If yes, please describe any changes(s) you plan to make:

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11. Committment

  Very committed Committed Neutral Not committed Not at all
If yes, how committed are you to making these changes?

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12. If no, what barriers may exist to prevent you from makingchanges? (check all that apply)

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13. Do you feel future activities on this subject matter are necessary and/or important to your practice?

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14. Professional designation:

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15. Additional comments:

POST TEST

Now that you have participated in the presentation, please answer the following questions:

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16. Which statement best reflects the scientific evidence about vaccines and autism?

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17. Which statement is accurate regarding the concern that children receive “too many vaccines too soon”?

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18. Which statement about vaccine ingredients is accurate?

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19. What is the primary purpose of an adjuvant in a vaccine?

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20. When comparing the risks of vaccination with the risks of vaccine-preventable diseases, which statement is most accurate?

Participant Attestation

By submitting this evaluation (Clicking the "Done" button), I attest that I have completed the online training in its entirety, including listening to the full presentation, completing the required pre-test and post-test, and completing this evaluation. I certify that these activities were completed by me as required.

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