Pharmacogenomics and Pharmacist Provided Patient Care (1 CE Hour)
Friday, July 10, 2015

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* 1. Contact Information

Name (First and Last)

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* 2. CPE Monitor Upload (Please provide the correct NABP # to ensure correct upload of credit)

NAPB Profile #:

Birthday (month and day)

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* 3.
Practice Setting

Clinical Pharmacy (pharmacist practicing in consulting areas, including home health, nursing homes and other clinical entities)

Health System Pharmacy (pharmacists practicing in hospitals, clinics and other health-system entities)

Independent Pharmacy (pharmacists practicing at an independent pharmacy)

Chain Pharmacist (pharmacists practicing at large chain pharmacies)

Academicians (pharmacists practicing as academicians)

Pharmacy Technicians

Retired

Students

Other (please specify)

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* 4.
Learner Involvement

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The Activity met my educational needs	The Activity met my educational needs Strongly Agree	The Activity met my educational needs Agree	The Activity met my educational needs Neutral	The Activity met my educational needs Disagree	The Activity met my educational needs Strongly Disagree
Faculty presented the information in a high-quality and informational manner	Faculty presented the information in a high-quality and informational manner Strongly Agree	Faculty presented the information in a high-quality and informational manner Agree	Faculty presented the information in a high-quality and informational manner Neutral	Faculty presented the information in a high-quality and informational manner Disagree	Faculty presented the information in a high-quality and informational manner Strongly Disagree
Educational materials are effective	Educational materials are effective Strongly Agree	Educational materials are effective Agree	Educational materials are effective Neutral	Educational materials are effective Disagree	Educational materials are effective Strongly Disagree
The interactive activity enhanced my learning experience	The interactive activity enhanced my learning experience Strongly Agree	The interactive activity enhanced my learning experience Agree	The interactive activity enhanced my learning experience Neutral	The interactive activity enhanced my learning experience Disagree	The interactive activity enhanced my learning experience Strongly Disagree
Learner assessments aided me to determine how well I attained the information and learning objectives	Learner assessments aided me to determine how well I attained the information and learning objectives Strongly Agree	Learner assessments aided me to determine how well I attained the information and learning objectives Agree	Learner assessments aided me to determine how well I attained the information and learning objectives Neutral	Learner assessments aided me to determine how well I attained the information and learning objectives Disagree	Learner assessments aided me to determine how well I attained the information and learning objectives Strongly Disagree

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* 5. Objective Attainment - Rate how well the following objectives were met during this activity

	Considerably	Moderately	Not At All
Summarize and use appropriately the nomenclature associated with the area of pharmacogenomics.	Summarize and use appropriately the nomenclature associated with the area of pharmacogenomics. Considerably	Summarize and use appropriately the nomenclature associated with the area of pharmacogenomics. Moderately	Summarize and use appropriately the nomenclature associated with the area of pharmacogenomics. Not At All
Describe the role of pharmacogenetic testing for certain medications in current clinical practice.	Describe the role of pharmacogenetic testing for certain medications in current clinical practice. Considerably	Describe the role of pharmacogenetic testing for certain medications in current clinical practice. Moderately	Describe the role of pharmacogenetic testing for certain medications in current clinical practice. Not At All
Predict how genetic polymorphisms in genes encoding drug metabolism could effect drug response	Predict how genetic polymorphisms in genes encoding drug metabolism could effect drug response Considerably	Predict how genetic polymorphisms in genes encoding drug metabolism could effect drug response Moderately	Predict how genetic polymorphisms in genes encoding drug metabolism could effect drug response Not At All

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* 6.
Do you feel that the activity was fair, balanced and free from commercial bias?

Yes

If no, please state your reason

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* 7. The content of this activity

	Yes	Somewhat	Needs improving	Not useful
Will help me improve patient care and safety	Will help me improve patient care and safety Yes	Will help me improve patient care and safety Somewhat	Will help me improve patient care and safety Needs improving	Will help me improve patient care and safety Not useful
Will help me improve patient outcomes	Will help me improve patient outcomes Yes	Will help me improve patient outcomes Somewhat	Will help me improve patient outcomes Needs improving	Will help me improve patient outcomes Not useful
Was of practical use to me	Was of practical use to me Yes	Was of practical use to me Somewhat	Was of practical use to me Needs improving	Was of practical use to me Not useful
Provided new ideas or information that I expect to use in my practice	Provided new ideas or information that I expect to use in my practice Yes	Provided new ideas or information that I expect to use in my practice Somewhat	Provided new ideas or information that I expect to use in my practice Needs improving	Provided new ideas or information that I expect to use in my practice Not useful
Addressed competencies pertaining to my specialty	Addressed competencies pertaining to my specialty Yes	Addressed competencies pertaining to my specialty Somewhat	Addressed competencies pertaining to my specialty Needs improving	Addressed competencies pertaining to my specialty Not useful

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* 8. 2015 Continuing Education Feedback

	Yes	Somewhat	No
The Speaker was prepared, engaging and knowledgeable about CE Topic	The Speaker was prepared, engaging and knowledgeable about CE Topic Yes	The Speaker was prepared, engaging and knowledgeable about CE Topic Somewhat	The Speaker was prepared, engaging and knowledgeable about CE Topic No
Would you like to see CE topics similar to this at future conventions	Would you like to see CE topics similar to this at future conventions Yes	Would you like to see CE topics similar to this at future conventions Somewhat	Would you like to see CE topics similar to this at future conventions No

Question Title

* 1. Contact Information

Question Title

* 2. CPE Monitor Upload (Please provide the correct NABP # to ensure correct upload of credit)

Question Title

* 3. Practice Setting

Question Title

* 4. Learner Involvement

Question Title

* 5. Objective Attainment - Rate how well the following objectives were met during this activity

Question Title

* 6. Do you feel that the activity was fair, balanced and free from commercial bias?

Question Title

* 7. The content of this activity

Question Title

* 8. 2015 Continuing Education Feedback

* 3.
Practice Setting

* 4.
Learner Involvement

* 6.
Do you feel that the activity was fair, balanced and free from commercial bias?