Baptist Health – Advanced Practice Providers Grand Rounds Evaluation Form - November 11, 2026

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
Differentiate epileptic seizures from common seizure mimics.	Differentiate epileptic seizures from common seizure mimics. - 5	Differentiate epileptic seizures from common seizure mimics. - 4	Differentiate epileptic seizures from common seizure mimics. - 3	Differentiate epileptic seizures from common seizure mimics. - 2	Differentiate epileptic seizures from common seizure mimics. - 1	Differentiate epileptic seizures from common seizure mimics. - 0
Recognize subtle seizure presentations.	Recognize subtle seizure presentations. - 5	Recognize subtle seizure presentations. - 4	Recognize subtle seizure presentations. - 3	Recognize subtle seizure presentations. - 2	Recognize subtle seizure presentations. - 1	Recognize subtle seizure presentations. - 0
Apply a structured, evidence-based approach to seizure evaluation.	Apply a structured, evidence-based approach to seizure evaluation. - 5	Apply a structured, evidence-based approach to seizure evaluation. - 4	Apply a structured, evidence-based approach to seizure evaluation. - 3	Apply a structured, evidence-based approach to seizure evaluation. - 2	Apply a structured, evidence-based approach to seizure evaluation. - 1	Apply a structured, evidence-based approach to seizure evaluation. - 0
Identify appropriate diagnostic tests when evaluating possible seizure events.	Identify appropriate diagnostic tests when evaluating possible seizure events. - 5	Identify appropriate diagnostic tests when evaluating possible seizure events. - 4	Identify appropriate diagnostic tests when evaluating possible seizure events. - 3	Identify appropriate diagnostic tests when evaluating possible seizure events. - 2	Identify appropriate diagnostic tests when evaluating possible seizure events. - 1	Identify appropriate diagnostic tests when evaluating possible seizure events. - 0
Develop management plans based on seizure type, etiology, and clinical status.	Develop management plans based on seizure type, etiology, and clinical status. - 5	Develop management plans based on seizure type, etiology, and clinical status. - 4	Develop management plans based on seizure type, etiology, and clinical status. - 3	Develop management plans based on seizure type, etiology, and clinical status. - 2	Develop management plans based on seizure type, etiology, and clinical status. - 1	Develop management plans based on seizure type, etiology, and clinical status. - 0
Communicate effectively with patients and families to support understanding, safety, and ongoing management.	Communicate effectively with patients and families to support understanding, safety, and ongoing management. - 5	Communicate effectively with patients and families to support understanding, safety, and ongoing management. - 4	Communicate effectively with patients and families to support understanding, safety, and ongoing management. - 3	Communicate effectively with patients and families to support understanding, safety, and ongoing management. - 2	Communicate effectively with patients and families to support understanding, safety, and ongoing management. - 1	Communicate effectively with patients and families to support understanding, safety, and ongoing management. - 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 - November 11, 2026