BHMG Surgery M&M Series Evaluation

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= Somewhat agree 3=Neither agree nor disagree 2= Somewhat disagree 1=Strongly disagree NA=Not applicable

	5	4	3	2	1	NA
The skills learned in this CME course enhanced my professional competence.	The skills learned in this CME course enhanced my professional competence. - 5	The skills learned in this CME course enhanced my professional competence. - 4	The skills learned in this CME course enhanced my professional competence. - 3	The skills learned in this CME course enhanced my professional competence. - 2	The skills learned in this CME course enhanced my professional competence. - 1	The skills learned in this CME course enhanced my professional competence. - NA
The skills learned in this CME course will be applied in the treatment of my patients.	The skills learned in this CME course will be applied in the treatment of my patients. - 5	The skills learned in this CME course will be applied in the treatment of my patients. - 4	The skills learned in this CME course will be applied in the treatment of my patients. - 3	The skills learned in this CME course will be applied in the treatment of my patients. - 2	The skills learned in this CME course will be applied in the treatment of my patients. - 1	The skills learned in this CME course will be applied in the treatment of my patients. - NA

As a result of attending this conference, to what extent do you agree that you will be better able to: (rate the objectives) *

Scoring Key: 5=Strongly Agree 4= Somewhat agree 3=Neither agree nor disagree 2= Somewhat disagree 1=Strongly disagree NA=Not applicable

	5	4	3	2	1	NA
Analyze team management of a patient care and clinical outcomes.	Analyze team management of a patient care and clinical outcomes. - 5	Analyze team management of a patient care and clinical outcomes. - 4	Analyze team management of a patient care and clinical outcomes. - 3	Analyze team management of a patient care and clinical outcomes. - 2	Analyze team management of a patient care and clinical outcomes. - 1	Analyze team management of a patient care and clinical outcomes. - NA
Identify opportunities for surgical and system improvements to reduce the morbidity and mortality of surgical patients.	Identify opportunities for surgical and system improvements to reduce the morbidity and mortality of surgical patients. - 5	Identify opportunities for surgical and system improvements to reduce the morbidity and mortality of surgical patients. - 4	Identify opportunities for surgical and system improvements to reduce the morbidity and mortality of surgical patients. - 3	Identify opportunities for surgical and system improvements to reduce the morbidity and mortality of surgical patients. - 2	Identify opportunities for surgical and system improvements to reduce the morbidity and mortality of surgical patients. - 1	Identify opportunities for surgical and system improvements to reduce the morbidity and mortality of surgical patients. - NA
Utilize the knowledge of the interdisciplinary surgical team to address causes of adverse patient outcomes.	Utilize the knowledge of the interdisciplinary surgical team to address causes of adverse patient outcomes. - 5	Utilize the knowledge of the interdisciplinary surgical team to address causes of adverse patient outcomes. - 4	Utilize the knowledge of the interdisciplinary surgical team to address causes of adverse patient outcomes. - 3	Utilize the knowledge of the interdisciplinary surgical team to address causes of adverse patient outcomes. - 2	Utilize the knowledge of the interdisciplinary surgical team to address causes of adverse patient outcomes. - 1	Utilize the knowledge of the interdisciplinary surgical team to address causes of adverse patient outcomes. - NA
Perform literature review related to specific clinical cases.	Perform literature review related to specific clinical cases. - 5	Perform literature review related to specific clinical cases. - 4	Perform literature review related to specific clinical cases. - 3	Perform literature review related to specific clinical cases. - 2	Perform literature review related to specific clinical cases. - 1	Perform literature review related to specific clinical cases. - NA

How satisfied or dissatisfied were you with the following conference content? *

Scoring Key: 5=Strongly satisfied 4= Somewhat satisfied 3=Neither satisfied nor dissatisfied 2= Somewhat dissatisfied 1=Strongly dissatisfied

	5	4	3	2	1
Lecture materials.	Lecture materials. - 5	Lecture materials. - 4	Lecture materials. - 3	Lecture materials. - 2	Lecture materials. - 1
Speaker's effectiveness in addressing the learning objectives.	Speaker's effectiveness in addressing the learning objectives. - 5	Speaker's effectiveness in addressing the learning objectives. - 4	Speaker's effectiveness in addressing the learning objectives. - 3	Speaker's effectiveness in addressing the learning objectives. - 2	Speaker's effectiveness in addressing the learning objectives. - 1

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

Yes

No

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

What, if any, new skills/strategies will you apply in your clinical practice? *

If you do not plan to implement any new skills/strategies in your clinical practice, what is keeping you from doing so?

Please provide any additional comments or suggestions.

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BHMG Surgery M&M Series Evaluation