October 2, 2020 Treating Pain & Addiction Workshops Post-training Evaluation

POST EVENT SURVEY

Please complete the following post-training survey to help us assess your knowledge of the foundations of pain management after completing the training.

IMPORTANT!!
Once you complete the post-training survey and evaluation and click FINISHED, you will be able to view your test results. After viewing your results, click DONE and you will be redirected to a web-page to download your continuing education certificate.

If you have difficulties completing this survey or are unable to download your continuing education certificates, contact Amy Wales at amy.wales@miccsi.org or 616-551-0795 ext. 11

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* 1. Personal Information

First Name

Last Name

Credential

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* 2. Please choose your organization from the choices below:

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* 3. Please choose your role:

Provider (MD, DO, PA-C, NP, etc.)

Nurse Care Manager/Care Coordinator

Social Worker Care Manager/Care Coordinator

Behavioral Health Specialist

Pharmacist

Other Clinical (CMA, RMA, etc.)

Non-Clinical (Practice Manager, Support Staff, etc.)

Leadership

Other (please specify)

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* 4. On a scale of 1-5 please rate your confidence in managing chronic pain.

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* 5. After attending this training, the approach that best describes how I will manage patients with chronic pain is:

I will manage/treat patients myself

I will refer patients to a specialist

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* 6. Please choose the session(s) that you attended:

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* 7. Which Breakout Session did you attend?

Substance Use Disorder

Team-Based Care