Improving Care for Your Patients and Getting Credit for Your Work Webinar Evaluation (Enduring credit)

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* 1. Evaluate the speaker on a scale of 1-5, with 5 being the best:

	Kellie Rath, MD	Kaitlin McGuffie	Dawn Ingles
Met Educational Objectives	Met Educational Objectives Kellie Rath, MD menu	Met Educational Objectives Kaitlin McGuffie menu	Met Educational Objectives Dawn Ingles menu
Relevant to Practice	Relevant to Practice Kellie Rath, MD menu	Relevant to Practice Kaitlin McGuffie menu	Relevant to Practice Dawn Ingles menu
Increased My Knowledge and Competence	Increased My Knowledge and Competence Kellie Rath, MD menu	Increased My Knowledge and Competence Kaitlin McGuffie menu	Increased My Knowledge and Competence Dawn Ingles menu
Speaker Was Organized and Presented Clearly	Speaker Was Organized and Presented Clearly Kellie Rath, MD menu	Speaker Was Organized and Presented Clearly Kaitlin McGuffie menu	Speaker Was Organized and Presented Clearly Dawn Ingles menu
Speaker's AV and Presentation	Speaker's AV and Presentation Kellie Rath, MD menu	Speaker's AV and Presentation Kaitlin McGuffie menu	Speaker's AV and Presentation Dawn Ingles menu

Comments:

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* 2. Were any speakers under undue commercial influence?

No

Yes - Please explain

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* 3. After participating in this program, I realized I need more information on the following:

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* 4. Identify a specific change in your practice that you intend to make as a result of the program:

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* 5. My participation was worth the time

Yes

No

Comments:

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* 6. Please make any suggestions that would help OAFP improve the quality of our CME programs in the future:

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* 7. If you would like to receive additional information on the Ohio Department of Health’s Breast and Cervical Cancer Project, please provide your information below:

First Name:

Last Name:

Designation:

Email:

Role in practice (physician/social worker/admin):

Type of practice (independent practice, FQHC, LDH):

County:

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* 8. If you answered yes to the previous question, what information are you interested in from the Ohio Department of Health’s Breast and Cervical Cancer Project?

Provider enrollment

Referral information

Other (please specify)