Clinician Well-Being as a National Priority Evaluation - November 2, 2017

As a result of participating in this course, 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
Recognize the magnitude of healthcare provider burnout.	Recognize the magnitude of healthcare provider burnout. - 5	Recognize the magnitude of healthcare provider burnout. - 4	Recognize the magnitude of healthcare provider burnout. - 3	Recognize the magnitude of healthcare provider burnout. - 2	Recognize the magnitude of healthcare provider burnout. - 1	Recognize the magnitude of healthcare provider burnout. - 0
Explain the adverse impact of burnout on quality of care, patient safety, patient outcomes, patient satisfaction, and workplace satisfaction.	Explain the adverse impact of burnout on quality of care, patient safety, patient outcomes, patient satisfaction, and workplace satisfaction. - 5	Explain the adverse impact of burnout on quality of care, patient safety, patient outcomes, patient satisfaction, and workplace satisfaction. - 4	Explain the adverse impact of burnout on quality of care, patient safety, patient outcomes, patient satisfaction, and workplace satisfaction. - 3	Explain the adverse impact of burnout on quality of care, patient safety, patient outcomes, patient satisfaction, and workplace satisfaction. - 2	Explain the adverse impact of burnout on quality of care, patient safety, patient outcomes, patient satisfaction, and workplace satisfaction. - 1	Explain the adverse impact of burnout on quality of care, patient safety, patient outcomes, patient satisfaction, and workplace satisfaction. - 0
Identify common contributors to stress in the changing healthcare environment.	Identify common contributors to stress in the changing healthcare environment. - 5	Identify common contributors to stress in the changing healthcare environment. - 4	Identify common contributors to stress in the changing healthcare environment. - 3	Identify common contributors to stress in the changing healthcare environment. - 2	Identify common contributors to stress in the changing healthcare environment. - 1	Identify common contributors to stress in the changing healthcare environment. - 0
Implement strategies to prevent onset and/or escalation of burnout.	Implement strategies to prevent onset and/or escalation of burnout. - 5	Implement strategies to prevent onset and/or escalation of burnout. - 4	Implement strategies to prevent onset and/or escalation of burnout. - 3	Implement strategies to prevent onset and/or escalation of burnout. - 2	Implement strategies to prevent onset and/or escalation of burnout. - 1	Implement strategies to prevent onset and/or escalation of burnout. - 0
Recognize the signs that burnout is happening – in oneself and in colleagues and direct reports.	Recognize the signs that burnout is happening – in oneself and in colleagues and direct reports. - 5	Recognize the signs that burnout is happening – in oneself and in colleagues and direct reports. - 4	Recognize the signs that burnout is happening – in oneself and in colleagues and direct reports. - 3	Recognize the signs that burnout is happening – in oneself and in colleagues and direct reports. - 2	Recognize the signs that burnout is happening – in oneself and in colleagues and direct reports. - 1	Recognize the signs that burnout is happening – in oneself and in colleagues and direct reports. - 0
Review a successfully implemented national model to prevent burnout.	Review a successfully implemented national model to prevent burnout. - 5	Review a successfully implemented national model to prevent burnout. - 4	Review a successfully implemented national model to prevent burnout. - 3	Review a successfully implemented national model to prevent burnout. - 2	Review a successfully implemented national model to prevent burnout. - 1	Review a successfully implemented national model to prevent burnout. - 0
Select from a broad range of strategies and resources to take care of oneself and get back on track.	Select from a broad range of strategies and resources to take care of oneself and get back on track. - 5	Select from a broad range of strategies and resources to take care of oneself and get back on track. - 4	Select from a broad range of strategies and resources to take care of oneself and get back on track. - 3	Select from a broad range of strategies and resources to take care of oneself and get back on track. - 2	Select from a broad range of strategies and resources to take care of oneself and get back on track. - 1	Select from a broad range of strategies and resources to take care of oneself and get back on track. - 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
Ian Nisonson, M.D., FACS	Ian Nisonson, M.D., FACS - 5	Ian Nisonson, M.D., FACS - 4	Ian Nisonson, M.D., FACS - 3	Ian Nisonson, M.D., FACS - 2	Ian Nisonson, M.D., FACS - 1
Ana A. Rivas-Vazquez, Ph.D.	Ana A. Rivas-Vazquez, Ph.D. - 5	Ana A. Rivas-Vazquez, Ph.D. - 4	Ana A. Rivas-Vazquez, Ph.D. - 3	Ana A. Rivas-Vazquez, Ph.D. - 2	Ana A. Rivas-Vazquez, Ph.D. - 1
Becky Montesino-King, DNP, R.N., NEA-BC, CENP	Becky Montesino-King, DNP, R.N., NEA-BC, CENP - 5	Becky Montesino-King, DNP, R.N., NEA-BC, CENP - 4	Becky Montesino-King, DNP, R.N., NEA-BC, CENP - 3	Becky Montesino-King, DNP, R.N., NEA-BC, CENP - 2	Becky Montesino-King, DNP, R.N., NEA-BC, CENP - 1
Reverend Guillermo Escalona, M.Div, BCC, CT	Reverend Guillermo Escalona, M.Div, BCC, CT - 5	Reverend Guillermo Escalona, M.Div, BCC, CT - 4	Reverend Guillermo Escalona, M.Div, BCC, CT - 3	Reverend Guillermo Escalona, M.Div, BCC, CT - 2	Reverend Guillermo Escalona, M.Div, BCC, CT - 1
Panel Discussion	Panel Discussion - 5	Panel Discussion - 4	Panel Discussion - 3	Panel Discussion - 2	Panel Discussion - 1

Was this course fair, balanced and without commercial bias? *

Yes

No

If you checked "No,” please explain why: *

How many patients will you see in your practice who will likely be impacted by what you learned at this activity? *

1-5

6-10

Over 10

Not applicable to my practice

What do you intend to do differently in the treatment of your patients as a result of what you learned? What new strategies will you apply in your practice of patient care? *

If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so. *

List topics related to this lecture that you want to learn more about?

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Clinician Well-Being as a National Priority Evaluation - November 2, 2017