POST-TEST AND CONFERENCE EVALUATION
Speaker: Funmilayo Rachal, MD

Please complete the 5-question post-test and evaluation to be able obtain your course credit.  To receive credit and print a certificate a minimum score of 80% must be achieved.
To receive continuing education credits, please complete the following conference evaluation.  The results of this survey will provide us with valuable information on the effectiveness of this conference and the impact it may have on physician performance and patient outcomes. 


Question Title

* 1. Which of the following is true regarding a patients’ ability to consent to a sexual relationship with their current treating medical provider?

Question Title

* 2. Which of the following is an example of non-contact sexual violation of a patient by a physician?

Question Title

* 3. Sexual misconduct in healthcare can occur in which setting?

Question Title

* 4. Which of the following are examples of the potential negative impacts on a victim of professional sexual misconduct?

Question Title

* 5. Which of the following is a recommendation for when a clinician should use a chaperone when seeing a patient?

Question Title

* 6. PLEASE COMPLETE THE CONFERENCE EVALUATION BELOW TO OBTAIN YOU CERTIFICATE OF ATTENDANCE

Please choose your professional designation:

Question Title

* 7. How confidently can you: (using the following rating scale)
(5 – Strongly Agree,   4 – Agree,   3 – No Opinion,   2 – Disagree,  1 – Strongly Disagree)

  1 2 3 4 5
Define physician sexual misconduct and identify behaviors consistent with sexual boundary violations
Identify the components of Georgia HB 458 and reporting requirements for the sexual assault of patients by the healthcare professional
Educate clinicians on practice measures and strategies to decrease the risk of sexual misconduct during communication with patients while conducting sensitive physical examination
Identify the impact of sexual trauma and implicit bias in sexual misconduct cases

Question Title

* 8. Please evaluate this activity by selecting the appropriate box, using the following rating scale:
(5 – Strongly Agree,   4 – Agree,   3 – No Opinion,   2 – Disagree,  1 – Strongly Disagree)

  1 2 3 4 5
The information provided will help me in improving patient care.
The content covered is useful, timely, and relevant to my practice.
This presentation was free of commercial bias.
This activity was balanced, objective and scientifically rigorous.

Question Title

* 9. Please rank the overall effectiveness of the speaker(s)/facilitator(s).

Question Title

* 10. Please rank the overall quality of this activity.

Question Title

* 11. As a result of participating in this conference, I anticipate seeing an improvement in the following areas (please select all that apply):

Question Title

* 12. Are you planning on making changes in your practice as a result of learning from this activity?

Question Title

* 13. What was the most important thing you learned in this conference?

Question Title

* 14. Please provide comments and suggestions regarding ways we can improve this conference.

Question Title

* 15. CREDIT CLAIM - Please enter the number of credits you are claiming (Northside Hospital is accredited by the Medical Association of Georgia to provide continuing education for physicians. Northside Hospital designates this enduring material video for a maximum of 2.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.) Designate credits in box below.

For questions or comments contact: Northside Hospital Department of Medical Education 
medical.education@northside.com    404-236-8419

Question Title

* 16. Please make sure to fill in your name, email, and specialty in order to receive your CME credit (physicians) and/or Certificate of Participation (other learners).

Question Title

* 17. Please enter your Employee/Provider Number

You must achieve 80% or better to be able to print a certificate. The link will be made available to you at the end of the survey.

T