Art of the Spine Evaluation - June 15, 2016

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
List the various medications used to treat low back pain, and recognize which medications are indicated to target treatment of the specific pain generators.	List the various medications used to treat low back pain, and recognize which medications are indicated to target treatment of the specific pain generators. - 5	List the various medications used to treat low back pain, and recognize which medications are indicated to target treatment of the specific pain generators. - 4	List the various medications used to treat low back pain, and recognize which medications are indicated to target treatment of the specific pain generators. - 3	List the various medications used to treat low back pain, and recognize which medications are indicated to target treatment of the specific pain generators. - 2	List the various medications used to treat low back pain, and recognize which medications are indicated to target treatment of the specific pain generators. - 1	List the various medications used to treat low back pain, and recognize which medications are indicated to target treatment of the specific pain generators. - 0
Discuss a targeted approach to treatment for low back pain.	Discuss a targeted approach to treatment for low back pain. - 5	Discuss a targeted approach to treatment for low back pain. - 4	Discuss a targeted approach to treatment for low back pain. - 3	Discuss a targeted approach to treatment for low back pain. - 2	Discuss a targeted approach to treatment for low back pain. - 1	Discuss a targeted approach to treatment for low back pain. - 0
Distinguish when a facet block or an epidural steroid injection is most appropriate to treat low back pain.	Distinguish when a facet block or an epidural steroid injection is most appropriate to treat low back pain. - 5	Distinguish when a facet block or an epidural steroid injection is most appropriate to treat low back pain. - 4	Distinguish when a facet block or an epidural steroid injection is most appropriate to treat low back pain. - 3	Distinguish when a facet block or an epidural steroid injection is most appropriate to treat low back pain. - 2	Distinguish when a facet block or an epidural steroid injection is most appropriate to treat low back pain. - 1	Distinguish when a facet block or an epidural steroid injection is most appropriate to treat low back pain. - 0
Explain other forms of interventional pain management and the indications for each.	Explain other forms of interventional pain management and the indications for each. - 5	Explain other forms of interventional pain management and the indications for each. - 4	Explain other forms of interventional pain management and the indications for each. - 3	Explain other forms of interventional pain management and the indications for each. - 2	Explain other forms of interventional pain management and the indications for each. - 1	Explain other forms of interventional pain management and the indications for each. - 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
Jose Mena, M.D.	Jose Mena, M.D. - 5	Jose Mena, M.D. - 4	Jose Mena, M.D. - 3	Jose Mena, M.D. - 2	Jose Mena, M.D. - 1

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

Yes

No

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

How many patients will you see in your practice who will likely be impacted by what you learned at this activity? *

1-5

6-10

Over 10

Not applicable to my practice

What do you intend to do differently in the treatment of your patients as a result of what you learned? What new strategies will you apply in your practice of patient care? *

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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Art of the Spine Evaluation - June 15, 2016