2022 BHSF Ethics Consultants’ Simulation Evaluation

As a result of participating in this course, to what extent do you agree that you will be better able to accomplish these objectives *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree 0=Not applicable to my practice

	5	4	3	2	1	0
Identify the nature of the values uncertainty or conflict that underlies the need for the ethics consultation.	Identify the nature of the values uncertainty or conflict that underlies the need for the ethics consultation. - 5	Identify the nature of the values uncertainty or conflict that underlies the need for the ethics consultation. - 4	Identify the nature of the values uncertainty or conflict that underlies the need for the ethics consultation. - 3	Identify the nature of the values uncertainty or conflict that underlies the need for the ethics consultation. - 2	Identify the nature of the values uncertainty or conflict that underlies the need for the ethics consultation. - 1	Identify the nature of the values uncertainty or conflict that underlies the need for the ethics consultation. - 0
Ascertain the ethically appropriate decision maker (e.g., patient, surrogate, health care team or hospital administrator).	Ascertain the ethically appropriate decision maker (e.g., patient, surrogate, health care team or hospital administrator). - 5	Ascertain the ethically appropriate decision maker (e.g., patient, surrogate, health care team or hospital administrator). - 4	Ascertain the ethically appropriate decision maker (e.g., patient, surrogate, health care team or hospital administrator). - 3	Ascertain the ethically appropriate decision maker (e.g., patient, surrogate, health care team or hospital administrator). - 2	Ascertain the ethically appropriate decision maker (e.g., patient, surrogate, health care team or hospital administrator). - 1	Ascertain the ethically appropriate decision maker (e.g., patient, surrogate, health care team or hospital administrator). - 0
Establish realistic expectations about the consultation process.	Establish realistic expectations about the consultation process. - 5	Establish realistic expectations about the consultation process. - 4	Establish realistic expectations about the consultation process. - 3	Establish realistic expectations about the consultation process. - 2	Establish realistic expectations about the consultation process. - 1	Establish realistic expectations about the consultation process. - 0

Rate the following *

Scoring Key: 5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor

	5	4	3	2	1
Course content.	Course content. - 5	Course content. - 4	Course content. - 3	Course content. - 2	Course content. - 1
Claudio J. Kogan MD, MBE	Claudio J. Kogan MD, MBE - 5	Claudio J. Kogan MD, MBE - 4	Claudio J. Kogan MD, MBE - 3	Claudio J. Kogan MD, MBE - 2	Claudio J. Kogan MD, MBE - 1
Rosy Gonzalez, MSN, R.N.	Rosy Gonzalez, MSN, R.N. - 5	Rosy Gonzalez, MSN, R.N. - 4	Rosy Gonzalez, MSN, R.N. - 3	Rosy Gonzalez, MSN, R.N. - 2	Rosy Gonzalez, MSN, R.N. - 1

How do you feel? *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree

	5	4	3	2	1
I feel more prepared to effectively execute an ethics consultation.	I feel more prepared to effectively execute an ethics consultation. - 5	I feel more prepared to effectively execute an ethics consultation. - 4	I feel more prepared to effectively execute an ethics consultation. - 3	I feel more prepared to effectively execute an ethics consultation. - 2	I feel more prepared to effectively execute an ethics consultation. - 1

Was this course fair, balanced and without commercial bias? *

Yes

No

If you checked "No,” please explain why: *

What do you intend to do differently as a result of attending this course? *

If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so. *

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2022 BHSF Ethics Consultants’ Simulation Evaluation