Clinician Well-being Conference Series: Becoming a Mindful Provider Evaluation - August 23, 2023

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= Somewhat agree 3=Neither agree nor disagree 2= Somewhat disagree 1=Strongly disagree NA=Not applicable

	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

How confident are you in your ability to: *

5 = High level of confidence 4 = Moderately high level of confidence 3 = Average level of confidence 2 = Low level of confidence 1 = No level of confidence

	5	4	3	2	1
Integrate the four main components of mindfulness into your daily practice to connect to a place of inner calm, peace, wisdom and stability.	Integrate the four main components of mindfulness into your daily practice to connect to a place of inner calm, peace, wisdom and stability. - 5	Integrate the four main components of mindfulness into your daily practice to connect to a place of inner calm, peace, wisdom and stability. - 4	Integrate the four main components of mindfulness into your daily practice to connect to a place of inner calm, peace, wisdom and stability. - 3	Integrate the four main components of mindfulness into your daily practice to connect to a place of inner calm, peace, wisdom and stability. - 2	Integrate the four main components of mindfulness into your daily practice to connect to a place of inner calm, peace, wisdom and stability. - 1
Utilize evidence-based mindfulness strategies in your clinical practice and daily life.	Utilize evidence-based mindfulness strategies in your clinical practice and daily life. - 5	Utilize evidence-based mindfulness strategies in your clinical practice and daily life. - 4	Utilize evidence-based mindfulness strategies in your clinical practice and daily life. - 3	Utilize evidence-based mindfulness strategies in your clinical practice and daily life. - 2	Utilize evidence-based mindfulness strategies in your clinical practice and daily life. - 1

How satisfied or dissatisfied were you with the Speaker's effectiveness in addressing the learning objectives? *

Scoring Key: 5=Strongly satisfied 4= Somewhat satisfied 3=Neither satisfied nor dissatisfied 2= Somewhat dissatisfied 1=Strongly dissatisfied

	5	4	3	2	1
Define “mindfulness awareness” and identify ways in which to apply mindfulness into their daily life and medical practice.	Define “mindfulness awareness” and identify ways in which to apply mindfulness into their daily life and medical practice. - 5	Define “mindfulness awareness” and identify ways in which to apply mindfulness into their daily life and medical practice. - 4	Define “mindfulness awareness” and identify ways in which to apply mindfulness into their daily life and medical practice. - 3	Define “mindfulness awareness” and identify ways in which to apply mindfulness into their daily life and medical practice. - 2	Define “mindfulness awareness” and identify ways in which to apply mindfulness into their daily life and medical practice. - 1
Integrate the four main components of mindfulness into their daily practice to connect to a place of inner calm, peace, wisdom and stability.	Integrate the four main components of mindfulness into their daily practice to connect to a place of inner calm, peace, wisdom and stability. - 5	Integrate the four main components of mindfulness into their daily practice to connect to a place of inner calm, peace, wisdom and stability. - 4	Integrate the four main components of mindfulness into their daily practice to connect to a place of inner calm, peace, wisdom and stability. - 3	Integrate the four main components of mindfulness into their daily practice to connect to a place of inner calm, peace, wisdom and stability. - 2	Integrate the four main components of mindfulness into their daily practice to connect to a place of inner calm, peace, wisdom and stability. - 1
Apply tools to be used for short-term or longer periods of mindfulness practice.	Apply tools to be used for short-term or longer periods of mindfulness practice. - 5	Apply tools to be used for short-term or longer periods of mindfulness practice. - 4	Apply tools to be used for short-term or longer periods of mindfulness practice. - 3	Apply tools to be used for short-term or longer periods of mindfulness practice. - 2	Apply tools to be used for short-term or longer periods of mindfulness practice. - 1
Imagine an aspirational plan for becoming a mindful provider.	Imagine an aspirational plan for becoming a mindful provider. - 5	Imagine an aspirational plan for becoming a mindful provider. - 4	Imagine an aspirational plan for becoming a mindful provider. - 3	Imagine an aspirational plan for becoming a mindful provider. - 2	Imagine an aspirational plan for becoming a mindful provider. - 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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Clinician Well-being Conference Series: Becoming a Mindful Provider Evaluation - August 23, 2023