Boca Raton Regional Hospital Internal Medicine Grand Rounds Evaluation Form - April 28, 2026

Please select one: *

I am in active clinical practice

I am retired

I am a student

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
Implement strategies to participate in more goals of care and advance care planning conversations.	Implement strategies to participate in more goals of care and advance care planning conversations. - 5	Implement strategies to participate in more goals of care and advance care planning conversations. - 4	Implement strategies to participate in more goals of care and advance care planning conversations. - 3	Implement strategies to participate in more goals of care and advance care planning conversations. - 2	Implement strategies to participate in more goals of care and advance care planning conversations. - 1	Implement strategies to participate in more goals of care and advance care planning conversations. - 0
Deliver care to reduce suffering and improve quality of life for both the patient and the family.	Deliver care to reduce suffering and improve quality of life for both the patient and the family. - 5	Deliver care to reduce suffering and improve quality of life for both the patient and the family. - 4	Deliver care to reduce suffering and improve quality of life for both the patient and the family. - 3	Deliver care to reduce suffering and improve quality of life for both the patient and the family. - 2	Deliver care to reduce suffering and improve quality of life for both the patient and the family. - 1	Deliver care to reduce suffering and improve quality of life for both the patient and the family. - 0
Collaborate with the multi-disciplinary team to support end of life care.	Collaborate with the multi-disciplinary team to support end of life care. - 5	Collaborate with the multi-disciplinary team to support end of life care. - 4	Collaborate with the multi-disciplinary team to support end of life care. - 3	Collaborate with the multi-disciplinary team to support end of life care. - 2	Collaborate with the multi-disciplinary team to support end of life care. - 1	Collaborate with the multi-disciplinary team to support end of life care. - 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? *

What topics would you like to be covered at future Grand Rounds?

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Boca Raton Regional Hospital Internal Medicine Grand Rounds Evaluation Form - April 28, 2026