Boca Raton Regional Hospital Internal Medicine Grand Rounds Evaluation Form - August 30

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
Correlate the pathophysiology of vasculitis with the size and site of the blood vessel involvement in specific types of vasculitis.	Correlate the pathophysiology of vasculitis with the size and site of the blood vessel involvement in specific types of vasculitis. - 5	Correlate the pathophysiology of vasculitis with the size and site of the blood vessel involvement in specific types of vasculitis. - 4	Correlate the pathophysiology of vasculitis with the size and site of the blood vessel involvement in specific types of vasculitis. - 3	Correlate the pathophysiology of vasculitis with the size and site of the blood vessel involvement in specific types of vasculitis. - 2	Correlate the pathophysiology of vasculitis with the size and site of the blood vessel involvement in specific types of vasculitis. - 1	Correlate the pathophysiology of vasculitis with the size and site of the blood vessel involvement in specific types of vasculitis. - 0
Identify temporal arteritis as an example of a large blood vessel disease and recognize its clinical features and pathology.	Identify temporal arteritis as an example of a large blood vessel disease and recognize its clinical features and pathology. - 5	Identify temporal arteritis as an example of a large blood vessel disease and recognize its clinical features and pathology. - 4	Identify temporal arteritis as an example of a large blood vessel disease and recognize its clinical features and pathology. - 3	Identify temporal arteritis as an example of a large blood vessel disease and recognize its clinical features and pathology. - 2	Identify temporal arteritis as an example of a large blood vessel disease and recognize its clinical features and pathology. - 1	Identify temporal arteritis as an example of a large blood vessel disease and recognize its clinical features and pathology. - 0
Describe the clinical manifestations of polymyalgia rheumatica and discuss its association with temporal arteritis.	Describe the clinical manifestations of polymyalgia rheumatica and discuss its association with temporal arteritis. - 5	Describe the clinical manifestations of polymyalgia rheumatica and discuss its association with temporal arteritis. - 4	Describe the clinical manifestations of polymyalgia rheumatica and discuss its association with temporal arteritis. - 3	Describe the clinical manifestations of polymyalgia rheumatica and discuss its association with temporal arteritis. - 2	Describe the clinical manifestations of polymyalgia rheumatica and discuss its association with temporal arteritis. - 1	Describe the clinical manifestations of polymyalgia rheumatica and discuss its association with temporal arteritis. - 0
Recognize polyarteritis nodosa as example of medium blood vessel vasculitis and describe its clinical features and pathology.	Recognize polyarteritis nodosa as example of medium blood vessel vasculitis and describe its clinical features and pathology. - 5	Recognize polyarteritis nodosa as example of medium blood vessel vasculitis and describe its clinical features and pathology. - 4	Recognize polyarteritis nodosa as example of medium blood vessel vasculitis and describe its clinical features and pathology. - 3	Recognize polyarteritis nodosa as example of medium blood vessel vasculitis and describe its clinical features and pathology. - 2	Recognize polyarteritis nodosa as example of medium blood vessel vasculitis and describe its clinical features and pathology. - 1	Recognize polyarteritis nodosa as example of medium blood vessel vasculitis and describe its clinical features and pathology. - 0
Classify the ANCA-associated vasculitides and discuss their respective clinical features and pathology.	Classify the ANCA-associated vasculitides and discuss their respective clinical features and pathology. - 5	Classify the ANCA-associated vasculitides and discuss their respective clinical features and pathology. - 4	Classify the ANCA-associated vasculitides and discuss their respective clinical features and pathology. - 3	Classify the ANCA-associated vasculitides and discuss their respective clinical features and pathology. - 2	Classify the ANCA-associated vasculitides and discuss their respective clinical features and pathology. - 1	Classify the ANCA-associated vasculitides and discuss their respective clinical features and pathology. - 0

Rate the Following *

Scoring Key: 5=Great Deal 4= A Good Bit 3=Some 2=Little 1=Very Little

	5	4	3	2	1
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

	5	4	3	2	1
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

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

Name

Leave this field blank

You are here

Boca Raton Regional Hospital Internal Medicine Grand Rounds Evaluation Form - August 30