Conversations in Ethics Evaluation - February 21, 2018

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
Identify how the living will can impact end-of-life decision-making for the healthcare team, the patient and family and the legal decision-maker.	Identify how the living will can impact end-of-life decision-making for the healthcare team, the patient and family and the legal decision-maker. - 5	Identify how the living will can impact end-of-life decision-making for the healthcare team, the patient and family and the legal decision-maker. - 4	Identify how the living will can impact end-of-life decision-making for the healthcare team, the patient and family and the legal decision-maker. - 3	Identify how the living will can impact end-of-life decision-making for the healthcare team, the patient and family and the legal decision-maker. - 2	Identify how the living will can impact end-of-life decision-making for the healthcare team, the patient and family and the legal decision-maker. - 1	Identify how the living will can impact end-of-life decision-making for the healthcare team, the patient and family and the legal decision-maker. - 0
Empathically approach families who are conflicted in their decision to continue full medical management or withhold or withdraw care.	Empathically approach families who are conflicted in their decision to continue full medical management or withhold or withdraw care. - 5	Empathically approach families who are conflicted in their decision to continue full medical management or withhold or withdraw care. - 4	Empathically approach families who are conflicted in their decision to continue full medical management or withhold or withdraw care. - 3	Empathically approach families who are conflicted in their decision to continue full medical management or withhold or withdraw care. - 2	Empathically approach families who are conflicted in their decision to continue full medical management or withhold or withdraw care. - 1	Empathically approach families who are conflicted in their decision to continue full medical management or withhold or withdraw care. - 0

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

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
Luis A. de la Cruz, M.D., MBA	Luis A. de la Cruz, M.D., MBA - 5	Luis A. de la Cruz, M.D., MBA - 4	Luis A. de la Cruz, M.D., MBA - 3	Luis A. de la Cruz, M.D., MBA - 2	Luis A. de la Cruz, M.D., MBA - 1
Susan Howard, MSN, RNBC	Susan Howard, MSN, RNBC - 5	Susan Howard, MSN, RNBC - 4	Susan Howard, MSN, RNBC - 3	Susan Howard, MSN, RNBC - 2	Susan Howard, MSN, RNBC - 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

Please list specific changes you intend to implement in your daily practice as a result of attending this activity. *

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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Conversations in Ethics Evaluation - February 21, 2018