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* 1. How would you rate this educational activity overall?

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* 2. How would you rate your understanding of concussion mechanism, clinical presentation and impacts on function, BEFORE this program?

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* 3. How would you rate your understanding of concussion mechanism, clinical presentation and impacts on function, AFTER this program?

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* 4. How would you rate your understanding of evidence based Return to Learn and Return to Activity protocols, BEFORE this program?

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* 5. How would you rate your understanding of evidence based Return to Learn and Return to Activity protocols, AFTER this program?

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* 6. How would you rate your understanding of communication with patients with Prolonged Post Concussive Syndrome, BEFORE this program?

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* 7. How would you rate your understanding of communication with patients with Prolonged Post Concussive Syndrome, AFTER this program?

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* 8. How would you rate your understanding of Oregon law as it pertains to concussion, BEFORE this program?

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* 9. How would you rate your understanding of Oregon law as it pertains to concussion, AFTER this program?

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* 10. Please rate the projected impact of this activity on your competence, performance and patient outcomes:

  Strongly Agree Agree Disagree Strongly Disagree
This activity increased my competence (i.e., ability to apply knowledge, skills and judgment in practice).
This activity will improve my performance.
This activity will improve my patient outcomes.

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* 11. During the course of this program, were you able to:

  Yes No  Partially
Review the latest research on post-concussion symptoms and impact on students, both for school participation and activity limitations?
Improve your understanding of evidence based current return to learn and return to activity protocols?
Improve communication with school and medical personnel regarding concussion management?
Explore challenges to schools, administrators, and teachers for students with prolonged post-concussion symptoms?
Review Oregon state laws on concussion and school responsibilities?

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* 12. How will you change your practice as a result of this activity?

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* 13. What barriers, besides time and/or money, do you anticipate encountering as you make changes in your practice?

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* 14. What percentage of information presented in this program will be of use to you?

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* 15. Do you feel that the information presented was based on the most current, and best available evidence?

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* 16. Did you feel that there was commercial bias or influence in this activity?

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* 17. Any additional comments or suggestions?

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