Baptist Health – Advanced Practice Providers Grand Rounds Evaluation Form - May 8, 2024

Please select one: *

I am in active clinical practice

I am retired

I am a student

Other

Please score your agreement with or assessment of the following questions and statements by rating on a scale of 1 to 5, with 5 representing the highest level of satisfaction or agreement. *

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
The information and/or skills learned will enhance my professional competence or ability.	The information and/or skills learned will enhance my professional competence or ability. - 5	The information and/or skills learned will enhance my professional competence or ability. - 4	The information and/or skills learned will enhance my professional competence or ability. - 3	The information and/or skills learned will enhance my professional competence or ability. - 2	The information and/or skills learned will enhance my professional competence or ability. - 1	The information and/or skills learned will enhance my professional competence or ability. - 0
This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients.	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 5	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 4	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 3	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 2	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 1	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 0

As a result of participating in this activity, 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 and screen patients for disease and implement evidence-based treatment.	Identify and screen patients for disease and implement evidence-based treatment. - 5	Identify and screen patients for disease and implement evidence-based treatment. - 4	Identify and screen patients for disease and implement evidence-based treatment. - 3	Identify and screen patients for disease and implement evidence-based treatment. - 2	Identify and screen patients for disease and implement evidence-based treatment. - 1	Identify and screen patients for disease and implement evidence-based treatment. - 0
Effectively communicate within an interdisciplinary care team to delivery optimal patient care.	Effectively communicate within an interdisciplinary care team to delivery optimal patient care. - 5	Effectively communicate within an interdisciplinary care team to delivery optimal patient care. - 4	Effectively communicate within an interdisciplinary care team to delivery optimal patient care. - 3	Effectively communicate within an interdisciplinary care team to delivery optimal patient care. - 2	Effectively communicate within an interdisciplinary care team to delivery optimal patient care. - 1	Effectively communicate within an interdisciplinary care team to delivery optimal patient care. - 0
Address patient and caregiver questions and concerns regarding diagnosis and treatment.	Address patient and caregiver questions and concerns regarding diagnosis and treatment. - 5	Address patient and caregiver questions and concerns regarding diagnosis and treatment. - 4	Address patient and caregiver questions and concerns regarding diagnosis and treatment. - 3	Address patient and caregiver questions and concerns regarding diagnosis and treatment. - 2	Address patient and caregiver questions and concerns regarding diagnosis and treatment. - 1	Address patient and caregiver questions and concerns regarding diagnosis and treatment. - 0

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

Yes

No

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

As a result of what was discussed at this activity what do you intend to do differently? Identify at least two learnings that could be incorporated into your practice *

What are the potential barriers or obstacles that might prevent you from implementing new strategies you learned at this activity? *

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Baptist Health – Advanced Practice Providers Grand Rounds Evaluation Form - May 8, 2024