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Disclosing a Dementia Diagnosis

Program Evaluation

Please take a few moments to answer the following questions, which will be used to assist us in meeting your educational needs. Your feedback will be kept private and confidential and only aggregate data will be shared. On behalf of the RI Geriatric Education Center, we thank you!
1.What was the purpose for your participation in this activity?(Required.)
2.What is your primary professional discipline? (Required.)
3.Please list all professional license/certificate/degree(s) you hold:(Required.)
4.How satisfied with the activity were you overall?(Required.)
5.Was this session free from commercial bias?(Required.)
EVALUATION OF TRAINING:
Please use the scale below to rate the efficacy of the learning objectives, the presenters, and the instructional format:
        1=Totally ineffective    2=Somewhat ineffective     3=Somewhat effective    4=Effective    5=Highly effective
6.How effective was the activity in meeting the stated learning objectives?
Upon completion of this activity, participants will be able to:
(Required.)
1
Totally ineffective
2
3
4
5
Highly effective
Identify best practices when communicating a dementia diagnosis to a patient with dementia and care partners
Describe challenges of disclosing diagnosis of dementia to a person with dementia and care partners across stages of illness
Recognize the importance of involving care partners in delivering a dementia diagnosis
Describe the barriers that may limit care partner understanding of diagnosis
Recognize the importance of an accurate and early diagnosis and disclosure in the setting of new disease modifying treatments for Alzheimer’s disease
7.Rate the effectiveness of the presenter.
Consider presentation style, knowledge of subject, quality of material, and practical applicability or relevance of topic in your assessment. (Required.)
1
Totally ineffective
2
3
4
5
Highly effective
John Stoukides MD
8.Rate the effectiveness of teaching strategies:(Required.)
1
Totally ineffective
2
3
4
5
Highly effective
Teaching strategies:
9.What was the most significant thing(s) you learned as a result of participating in this activity?(Required.)
10.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:(Required.)
11.What are the impediments to change or implementation?(Required.)
RETROSPECTIVE ASSESSMENT:
12.Please indicate your perceived level of knowledge for each items listed below 1.) BEFORE completing the activity, and 2.) AFTER completing the activity. Rating Scale: 0% to 100% (no knowledge at all ... to most knowledge possible)(Required.)
BEFORE
AFTER
Best practices when communicating a dementia diagnosis to a patient with dementia and care partner
Challenges of disclosing diagnosis of dementia to a person with dementia and care partners across stages of illness
Importance of involving care partners in delivering a dementia diagnosis
Barriers that may limit care partner understanding of diagnosis
Importance of an accurate and early diagnosis and disclosure in the setting of new disease modifying treatments for Alzheimer’s disease
13.Please indicate your perceived level of confidence to apply each of the items listed below 1.) BEFORE completing this activity and 2.) AFTER completing the activity. Rating Scale: 0% to 100% (no confidence at all... to most confidence possible)(Required.)
BEFORE
AFTER
Identify best practices when communicating a dementia diagnosis to a patient with dementia and care partners
Describe challenges of disclosing diagnosis of dementia to a person with dementia and care partners across stages of illness
Recognize the importance of involving care partners in delivering a dementia diagnosis
Describe the barriers that may limit care partner understanding of diagnosis
Recognize the importance of an accurate and early diagnosis and disclosure in the setting of new disease modifying treatments for Alzheimer’s disease
14.Please feel free to share any additional comments and suggestions for improvement. Your feedback is extremely valuable to us. 
15.Please indicate your preferred completion certificate:
16.Please complete the information below so we may send your certificate:
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