Self-Study Module - EM202234 COVID LONG HAUL Created 3/21/2022 Expired 3/21/2025 Question Title * 1. Learner InformationBy signing this form, I attest that I have completed the participant requirements for this CME activity. Any patient/case information will be kept confidential. First and Last Name and Credentials (i.e. Jane Doe, M.D.) Date: Number of AMA PRA Category 1 Credits™ Claiming (i.e., .50 or 1) Question Title * 2. Objectives were met for this activity, and this activity has enhanced my overall knowledge or abilities. Strongly Agree Agree Neutral Disagree Strongly Disagree Strongly Agree Agree Neutral Disagree Strongly Disagree Question Title * 3. Please rate this conference Excellent - The speaker, topic and presentation were superior. The presenter demonstrated substantive knowledge of the topic Good - Speaker was knowledgeable, presentation was satisfactory. Fair – Speaker and presentation were average. Poor – Speaker and presentation were unsatisfactory. Question Title * 4. Was this activity engaging and/or interactive Yes No Question Title * 5. Are the written materials helpful, and will they be useful references in the future? Yes No Question Title * 6. This CE Activity…. Met my learning needs Was relevant to my current scope of practice Contributed to my professional growth. Helped me learn skills and concepts that will allow me to be effective and strategic in my practice Allowed me to increase my connections with peers. Provided me with new ideas and resources. Select all that apply Select all that apply Met my learning needs Select all that apply Was relevant to my current scope of practice Select all that apply Contributed to my professional growth. Select all that apply Helped me learn skills and concepts that will allow me to be effective and strategic in my practice Select all that apply Allowed me to increase my connections with peers. Select all that apply Provided me with new ideas and resources. Other (please specify) Question Title * 7. Identify any specific changes that you plan to implement in your professional practice as a result of information you obtained as an attendee of this CME activity: None - Retired from Practice Patient Work-up Treatment Plans Patient Education Select all that apply. Select all that apply. None - Retired from Practice Select all that apply. Patient Work-up Select all that apply. Treatment Plans Select all that apply. Patient Education Other (please specify) Question Title * 8. This activity changed, enhanced, or improved my: Knowledge Competency Performance Patient Outcomes Communication skills Practice-based systems System-based practices Select all that apply Select all that apply Knowledge Select all that apply Competency Select all that apply Performance Select all that apply Patient Outcomes Select all that apply Communication skills Select all that apply Practice-based systems Select all that apply System-based practices Question Title * 9. Activity was free of commercial bias Yes No Question Title * 10. Activity was evidence-based Yes No Question Title * 11. What are the impediments to change? Cost Insurance/reimbursement issues Lack time to assess/counsel patients Patient compliance issues Lack of administrative support/resources Lack of consensus of professional guidelines Select all that apply. Select all that apply. Cost Select all that apply. Insurance/reimbursement issues Select all that apply. Lack time to assess/counsel patients Select all that apply. Patient compliance issues Select all that apply. Lack of administrative support/resources Select all that apply. Lack of consensus of professional guidelines Other (please specify) Question Title * 12. What is one concept you learned from this activity and will you be making any changes to your practice? True False Diagnosis of sarcoidosis cannot be made without a biopsy. Diagnosis of sarcoidosis cannot be made without a biopsy. True Diagnosis of sarcoidosis cannot be made without a biopsy. False All patients diagnosed with sarcoidosis requires therapy with immunosuppression. All patients diagnosed with sarcoidosis requires therapy with immunosuppression. True All patients diagnosed with sarcoidosis requires therapy with immunosuppression. False Sarcoidosis can affect many organ systems. Sarcoidosis can affect many organ systems. True Sarcoidosis can affect many organ systems. False Question Title * 13. Comments on this activity, or suggestions for CME topics. Done