38th Door County Summer Institute Overall Evaluation

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1 *

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

The sessions 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 course enhanced 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 call effectively on 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 *

My practice was changed and improved in the following way(s) as a result of the content presented in this course? (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

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

Yes

No

5

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 Other...

5

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 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?

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, content, procedure, and instructors, etc.

10

Did this course meet each of the following learning objectives?

	Yes	No
Identify current evidence-based practice guidelines for topic areas presented	Identify current evidence-based practice guidelines for topic areas presented  - Yes	Identify current evidence-based practice guidelines for topic areas presented  - No
Articulate their responses to humanities-based stimuli such as films and improvisation exercises	Articulate their responses to humanities-based stimuli such as films and improvisation exercises - Yes	Articulate their responses to humanities-based stimuli such as films and improvisation exercises - No
Demonstrate that a pertinent database exists in the development of leadership skills	Demonstrate that a pertinent database exists in the development of leadership skills - Yes	Demonstrate that a pertinent database exists in the development of leadership skills - No

11

As a result of my participation in this activity, I am better able to... 4 - Strongly Agree 3- Agree 2 - Somewhat Disagree 1- Strongly disagree

	1	2	3	4
Identify current evidence-based practice guidelines for topic areas presented	Identify current evidence-based practice guidelines for topic areas presented  - 1	Identify current evidence-based practice guidelines for topic areas presented  - 2	Identify current evidence-based practice guidelines for topic areas presented  - 3	Identify current evidence-based practice guidelines for topic areas presented  - 4
Articulate their responses to humanities-based stimuli such as films and improvisation exercises	Articulate their responses to humanities-based stimuli such as films and improvisation exercises - 1	Articulate their responses to humanities-based stimuli such as films and improvisation exercises - 2	Articulate their responses to humanities-based stimuli such as films and improvisation exercises - 3	Articulate their responses to humanities-based stimuli such as films and improvisation exercises - 4
Demonstrate that a pertinent database exists in the development of leadership skills	Demonstrate that a pertinent database exists in the development of leadership skills - 1	Demonstrate that a pertinent database exists in the development of leadership skills - 2	Demonstrate that a pertinent database exists in the development of leadership skills - 3	Demonstrate that a pertinent database exists in the development of leadership skills - 4

12

The following speaker(s) demonstrated experiential knowledge of the topic 4 - Strongly Agree 3- Agree 2 - Somewhat Disagree 1- Strongly Disagree

	1	2	3	4	Did not Attend
Fred Heide, PhD	Fred Heide, PhD - 1	Fred Heide, PhD - 2	Fred Heide, PhD - 3	Fred Heide, PhD - 4	Fred Heide, PhD - Did not Attend
Lee Becker	Lee Becker - 1	Lee Becker - 2	Lee Becker - 3	Lee Becker - 4	Lee Becker - Did not Attend
Donald Meichenbaum, PhD	Donald Meichenbaum, PhD - 1	Donald Meichenbaum, PhD - 2	Donald Meichenbaum, PhD - 3	Donald Meichenbaum, PhD - 4	Donald Meichenbaum, PhD - Did not Attend
David Meichenbaum, PhD	David Meichenbaum, PhD - 1	David Meichenbaum, PhD - 2	David Meichenbaum, PhD - 3	David Meichenbaum, PhD - 4	David Meichenbaum, PhD - Did not Attend
Tony Thrasher, DO, DFAPA	Tony Thrasher, DO, DFAPA - 1	Tony Thrasher, DO, DFAPA - 2	Tony Thrasher, DO, DFAPA - 3	Tony Thrasher, DO, DFAPA - 4	Tony Thrasher, DO, DFAPA - Did not Attend
Chad Carlson, MD, FAAN	Chad Carlson, MD, FAAN - 1	Chad Carlson, MD, FAAN - 2	Chad Carlson, MD, FAAN - 3	Chad Carlson, MD, FAAN - 4	Chad Carlson, MD, FAAN - Did not Attend
Ann Helms, MD, MS	Ann Helms, MD, MS - 1	Ann Helms, MD, MS - 2	Ann Helms, MD, MS - 3	Ann Helms, MD, MS - 4	Ann Helms, MD, MS - Did not Attend
Francis Lu, MD	Francis Lu, MD - 1	Francis Lu, MD - 2	Francis Lu, MD - 3	Francis Lu, MD - 4	Francis Lu, MD - Did not Attend
Mark A. Mone, PhD, MBA	Mark A. Mone, PhD, MBA - 1	Mark A. Mone, PhD, MBA - 2	Mark A. Mone, PhD, MBA - 3	Mark A. Mone, PhD, MBA - 4	Mark A. Mone, PhD, MBA - Did not Attend
Sara J. Swanson, PhD, ABPP	Sara J. Swanson, PhD, ABPP - 1	Sara J. Swanson, PhD, ABPP - 2	Sara J. Swanson, PhD, ABPP - 3	Sara J. Swanson, PhD, ABPP - 4	Sara J. Swanson, PhD, ABPP - Did not Attend
Benjamin Brett, PhD	Benjamin Brett, PhD - 1	Benjamin Brett, PhD - 2	Benjamin Brett, PhD - 3	Benjamin Brett, PhD - 4	Benjamin Brett, PhD - Did not Attend
Matthew Stohs, MD	Matthew Stohs, MD - 1	Matthew Stohs, MD - 2	Matthew Stohs, MD - 3	Matthew Stohs, MD - 4	Matthew Stohs, MD - Did not Attend
Stephen Brandt, MD	Stephen Brandt, MD - 1	Stephen Brandt, MD - 2	Stephen Brandt, MD - 3	Stephen Brandt, MD - 4	Stephen Brandt, MD - Did not Attend
John C. Markowitz, MD	John C. Markowitz, MD - 1	John C. Markowitz, MD - 2	John C. Markowitz, MD - 3	John C. Markowitz, MD - 4	John C. Markowitz, MD - Did not Attend
Shawn Shea, MD	Shawn Shea, MD - 1	Shawn Shea, MD - 2	Shawn Shea, MD - 3	Shawn Shea, MD - 4	Shawn Shea, MD - Did not Attend
David J. Katzelnick, MD	David J. Katzelnick, MD - 1	David J. Katzelnick, MD - 2	David J. Katzelnick, MD - 3	David J. Katzelnick, MD - 4	David J. Katzelnick, MD - Did not Attend
Christina Wichman, DO	Christina Wichman, DO - 1	Christina Wichman, DO - 2	Christina Wichman, DO - 3	Christina Wichman, DO - 4	Christina Wichman, DO - Did not Attend
Ronald Diamond, MD	Ronald Diamond, MD - 1	Ronald Diamond, MD - 2	Ronald Diamond, MD - 3	Ronald Diamond, MD - 4	Ronald Diamond, MD - Did not Attend
Rebecca Anderson, PhD	Rebecca Anderson, PhD - 1	Rebecca Anderson, PhD - 2	Rebecca Anderson, PhD - 3	Rebecca Anderson, PhD - 4	Rebecca Anderson, PhD - Did not Attend

13

Choose the option that best fits your evaluation of this activity: 4 - Strongly Agree 3- Agree 2 - Somewhat Disagree 1- Strongly Disagree

	1	2	3	4
The content provided a fair and balanced coverage of the topic.	The content provided a fair and balanced coverage of the topic. - 1	The content provided a fair and balanced coverage of the topic. - 2	The content provided a fair and balanced coverage of the topic. - 3	The content provided a fair and balanced coverage of the topic. - 4
The content was free of commercial bias.	The content was free of commercial bias. - 1	The content was free of commercial bias. - 2	The content was free of commercial bias. - 3	The content was free of commercial bias. - 4

14 *

How did you hear about this conference?

15 *

To help future DCSI participants, please provide any suggestions for dining in the Door County area that you’ve enjoyed during your stay.

16 *

In preparation of planning 2026’s DCSI, are there any speakers or topics you would like to see at a future session? Please specify.

17 *

Last year, we started introducing more 2-day sessions to help accommodate schedules, as it may be difficult for participants to request off for 5 days. Do you find this helpful, or would you recommend more 5-day sessions?

Medical College of Wisconsin

Office of Continuing and Professional Education

38th Door County Summer Institute Overall Evaluation

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38th Door County Summer Institute Overall Evaluation