Clinical Cardiology for the Primary Care Physician 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=Agree 3=Neutral 2=Disagree 1=Strongly Disagree NA=Not applicable to my practice

	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=Agree 3=Neutral 2=Disagree 1=Strongly Disagree NA=Not applicable to my practice

	5	4	3	2	1	NA
Identify signs and symptoms of cardiovascular diseases commonly seen in the primary care setting.	Identify signs and symptoms of cardiovascular diseases commonly seen in the primary care setting. - 5	Identify signs and symptoms of cardiovascular diseases commonly seen in the primary care setting. - 4	Identify signs and symptoms of cardiovascular diseases commonly seen in the primary care setting. - 3	Identify signs and symptoms of cardiovascular diseases commonly seen in the primary care setting. - 2	Identify signs and symptoms of cardiovascular diseases commonly seen in the primary care setting. - 1	Identify signs and symptoms of cardiovascular diseases commonly seen in the primary care setting. - NA
Recognize and perform the correct initial diagnostic evaluation of patients presenting with common cardiovascular symptoms.	Recognize and perform the correct initial diagnostic evaluation of patients presenting with common cardiovascular symptoms. - 5	Recognize and perform the correct initial diagnostic evaluation of patients presenting with common cardiovascular symptoms. - 4	Recognize and perform the correct initial diagnostic evaluation of patients presenting with common cardiovascular symptoms. - 3	Recognize and perform the correct initial diagnostic evaluation of patients presenting with common cardiovascular symptoms. - 2	Recognize and perform the correct initial diagnostic evaluation of patients presenting with common cardiovascular symptoms. - 1	Recognize and perform the correct initial diagnostic evaluation of patients presenting with common cardiovascular symptoms. - NA
Appropriately refer patients to subspecialty consult services or to the emergency room for acute evaluation and disease management.	Appropriately refer patients to subspecialty consult services or to the emergency room for acute evaluation and disease management. - 5	Appropriately refer patients to subspecialty consult services or to the emergency room for acute evaluation and disease management. - 4	Appropriately refer patients to subspecialty consult services or to the emergency room for acute evaluation and disease management. - 3	Appropriately refer patients to subspecialty consult services or to the emergency room for acute evaluation and disease management. - 2	Appropriately refer patients to subspecialty consult services or to the emergency room for acute evaluation and disease management. - 1	Appropriately refer patients to subspecialty consult services or to the emergency room for acute evaluation and disease management. - 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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Clinical Cardiology for the Primary Care Physician Evaluation