Please select one: * I am in active clinical practice I am retired I am a student 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 543210 Review alcohol withdrawal and symptoms. Review alcohol withdrawal and symptoms. - 5 Review alcohol withdrawal and symptoms. - 4 Review alcohol withdrawal and symptoms. - 3 Review alcohol withdrawal and symptoms. - 2 Review alcohol withdrawal and symptoms. - 1 Review alcohol withdrawal and symptoms. - 0 Discuss importance of medically supervised detox. Discuss importance of medically supervised detox. - 5 Discuss importance of medically supervised detox. - 4 Discuss importance of medically supervised detox. - 3 Discuss importance of medically supervised detox. - 2 Discuss importance of medically supervised detox. - 1 Discuss importance of medically supervised detox. - 0 Discuss and explain effective alcohol withdrawal treatment. Discuss and explain effective alcohol withdrawal treatment. - 5 Discuss and explain effective alcohol withdrawal treatment. - 4 Discuss and explain effective alcohol withdrawal treatment. - 3 Discuss and explain effective alcohol withdrawal treatment. - 2 Discuss and explain effective alcohol withdrawal treatment. - 1 Discuss and explain effective alcohol withdrawal treatment. - 0 Rate the Following * Scoring Key: 5=Great Deal 4= A Good Bit 3=Some 2=Little 1=Very Little 54321 How much did you learn as a result of this CE program? How much did you learn as a result of this CE program? - 5 How much did you learn as a result of this CE program? - 4 How much did you learn as a result of this CE program? - 3 How much did you learn as a result of this CE program? - 2 How much did you learn as a result of this CE program? - 1 How useful was the content of this CE program for your practice or other professional development? How useful was the content of this CE program for your practice or other professional development? - 5 How useful was the content of this CE program for your practice or other professional development? - 4 How useful was the content of this CE program for your practice or other professional development? - 3 How useful was the content of this CE program for your practice or other professional development? - 2 How useful was the content of this CE program for your practice or other professional development? - 1 Rate the following * Scoring Key: 5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor 54321 Course content. Course content. - 5 Course content. - 4 Course content. - 3 Course content. - 2 Course content. - 1 Speaker Speaker - 5 Speaker - 4 Speaker - 3 Speaker - 2 Speaker - 1 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? Comments Please select one: * M.D., D.O. Resident Ph.D. Psy.D. DPM PA-C APRN R.N. Pharmacist Respiratory Therapist Occupational Therapist Other... Please select one: Other... Name Leave this field blank
