Please take a few moments to complete this evaluation form. 1 Start 2 Complete Why did you attend this session? Select all that apply. To fulfill a personal learning objective To satisfy curiosity for personal interest To review something I had forgotten To share information with a patient, their family, or home health aides To exchange information with other health professionals (e.g., a colleague) To manage aspects of patient care with my care team To address a clinical question (problem) regarding a specific patient Clinical Issue If addressing a clinical question (problem) regarding a specific patient, what was your question? Relevant Did you find relevant information that partially or completely met your objective(s)? Yes No Practice My practice was (will be) changed and improved in the following way(s) No Change Diagnostic approach Therapeutic approach Disease prevention or health education Prognostic approach Objectives This session met the stated objectives Yes No speaker’s level of expertise The speaker’s level of expertise regarding content presented was Poor Fair Good Very Good Excellent Impact on your work What is the impact of this information on you or your practice? I learned something new This information confirmed I did (am doing) the right thing I am reassured I am reminded of something I already knew I am dissatisfied This basic science information has no immediate impact on my practice Information Did you (will you) use this information for a specific patient? Yes No Possibly If so, If Yes, please check all that apply. As a result of this information I will manage this patient differently I had several options for this patient, and I will use this information to justify a choice I thought I knew what to do, and I used this information to be more certain about the management of this patient I used this information to better understand a particular issue related to this patient I will use this information in a discussion with this patient, or with other health professionals about this patient I will use this information to persuade this patient, or to persuade other health professionals to make a change for this patient For this patient, For this patient, do you expect any health benefits as a result of applying this information? Yes No If yes, If Yes, please check all that apply. You may check more than one type of health benefit. This information will help to improve this patient's health status, functioning or resilience (i.e., ability to adapt to significant life stressors) This information will help to prevent a disease or worsening of disease for this patient This information will help to avoid unnecessary or inappropriate treatment, diagnostic procedures, preventative interventions or a referral, for this patient Commercial Bias * This information was free of commercial bias. If no, please explain. Yes No I am concerned that there was I am concerned that there was: Too much information Not enough information Information poorly organized Too technical Other... I am concerned that there was Other... If you disagree with the information If you disagree with the information or find the information potentially harmful please explain. Comments Comments on this presentation: Leave this field blank
