Boca Raton Regional Hospital Internal Medicine Grand Rounds Evaluation Form - Dec 28

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
Describe the pathophysiology of Multiple Sclerosis (MS).	Describe the pathophysiology of Multiple Sclerosis (MS). - 5	Describe the pathophysiology of Multiple Sclerosis (MS). - 4	Describe the pathophysiology of Multiple Sclerosis (MS). - 3	Describe the pathophysiology of Multiple Sclerosis (MS). - 2	Describe the pathophysiology of Multiple Sclerosis (MS). - 1	Describe the pathophysiology of Multiple Sclerosis (MS). - 0
Classify different types of MS.	Classify different types of MS. - 5	Classify different types of MS. - 4	Classify different types of MS. - 3	Classify different types of MS. - 2	Classify different types of MS. - 1	Classify different types of MS. - 0
Evaluate role of conventional Magnetic resonance imaging (MRI) in MS.	Evaluate role of conventional Magnetic resonance imaging (MRI) in MS. - 5	Evaluate role of conventional Magnetic resonance imaging (MRI) in MS. - 4	Evaluate role of conventional Magnetic resonance imaging (MRI) in MS. - 3	Evaluate role of conventional Magnetic resonance imaging (MRI) in MS. - 2	Evaluate role of conventional Magnetic resonance imaging (MRI) in MS. - 1	Evaluate role of conventional Magnetic resonance imaging (MRI) in MS. - 0
Distinguish between different MRI modalities/techniques used in MS.	Distinguish between different MRI modalities/techniques used in MS. - 5	Distinguish between different MRI modalities/techniques used in MS. - 4	Distinguish between different MRI modalities/techniques used in MS. - 3	Distinguish between different MRI modalities/techniques used in MS. - 2	Distinguish between different MRI modalities/techniques used in MS. - 1	Distinguish between different MRI modalities/techniques used in MS. - 0
Identify MRI metrics and effect of T1 black holes, role of Gadolinium and brain atrophy.	Identify MRI metrics and effect of T1 black holes, role of Gadolinium and brain atrophy. - 5	Identify MRI metrics and effect of T1 black holes, role of Gadolinium and brain atrophy. - 4	Identify MRI metrics and effect of T1 black holes, role of Gadolinium and brain atrophy. - 3	Identify MRI metrics and effect of T1 black holes, role of Gadolinium and brain atrophy. - 2	Identify MRI metrics and effect of T1 black holes, role of Gadolinium and brain atrophy. - 1	Identify MRI metrics and effect of T1 black holes, role of Gadolinium and brain atrophy. - 0
Discuss involvement of Direct Gray matter involvement in MS.	Discuss involvement of Direct Gray matter involvement in MS. - 5	Discuss involvement of Direct Gray matter involvement in MS. - 4	Discuss involvement of Direct Gray matter involvement in MS. - 3	Discuss involvement of Direct Gray matter involvement in MS. - 2	Discuss involvement of Direct Gray matter involvement in MS. - 1	Discuss involvement of Direct Gray matter involvement in MS. - 0
Evaluate role of spinal cord lesions, cortical lesions and leptomeningeal enhancement.	Evaluate role of spinal cord lesions, cortical lesions and leptomeningeal enhancement. - 5	Evaluate role of spinal cord lesions, cortical lesions and leptomeningeal enhancement. - 4	Evaluate role of spinal cord lesions, cortical lesions and leptomeningeal enhancement. - 3	Evaluate role of spinal cord lesions, cortical lesions and leptomeningeal enhancement. - 2	Evaluate role of spinal cord lesions, cortical lesions and leptomeningeal enhancement. - 1	Evaluate role of spinal cord lesions, cortical lesions and leptomeningeal enhancement. - 0
Assess future implications of MRI and therapeutics.	Assess future implications of MRI and therapeutics. - 5	Assess future implications of MRI and therapeutics. - 4	Assess future implications of MRI and therapeutics. - 3	Assess future implications of MRI and therapeutics. - 2	Assess future implications of MRI and therapeutics. - 1	Assess future implications of MRI and therapeutics. - 0

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

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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Boca Raton Regional Hospital Internal Medicine Grand Rounds Evaluation Form - Dec 28