July CMG Lunch and Learn Series Evaluation

First Name *

Last Name *

Email *

Please fill in your Ethos Login Email

1 *

In what aspect(s) do you feel satisfied with this educational session? (Check all that apply)

The session met my learning needs

The content was relevant to my current practices

The conversation was interprofessional

The conversation was constructive

None

Please check here and explain your choice:____________

1 Please check here and explain your choice:____________

2 *

This session will enhance my professional competence or ability in the following ways: (Check all that apply)

The ability to provide compassionate, appropriate, and effective Patient Care.

Medical Knowledge

Interpersonal and Communication Skills with patients, their families, and health professionals.

Commitment to carrying out Professional responsibilities and an adherence to ethical principles.

The ability to investigate and evaluate patient care, to appraise and assimilate scientific evidence, and to improve patient care based on self-evaluation and life-long learning.

The awareness of and the ability to effectively call upon other resources in the larger context and system of health care.

None of above

Please check here and explain your choice:____________

2 Please check here and explain your choice:____________

3 *

I plan to change my practice in the following ways: (Check all that apply)

Diagnostic approach

Therapeutic approach

Disease prevention or health education

System process improvement

No Change

Please check here and explain your choice:____________

3 Please check here and explain your choice:____________

4 *

Will you use this information for specific patient(s)?

Yes

No

5 if yes *

If Yes, please check all that apply.

As a result of this information I managed this patient differently

I had several options for this patient, and I used 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 used this information to recommend this patient, or other health professionals to make a change for this patient

Other...

5 if yes Other...

5 if no *

If No, please check all that apply.

This information does not apply to my patients

This infromation is too old

This information is too new

This strategy is too expensive

Patient access barriers

System based barrier (time, staff,ect)

Other...

5 if no Other...

6 *

This patient(s) got the following health benefits as a result of applying this information (Check all that apply)

This information helped to improve this patient's health status, functioning or resilience (i.e., ability to adapt to significant life stressors)

This information helped to prevent a disease or worsening of disease for this patient

This information helped to avoid unnecessary or inappropriate treatment, diagnostic procedures, preventative interventions or a referral, for this patient

Other...

6 Other...

7

What patient/health care problem recently challenged you, and you wish you knew more about? Feedback will help formulate ideas for future lunch and learn topics.

8 *

This information was free of commercial bias. If no, please explain.

Yes

No, Why

8 No, Why

9

Comments and feedback on the learning experience and content related to this session:

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