Conversations in Ethics Evaluation - January 16, 2019

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 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 NA=Not applicable to my practice

	5	4	3	2	1	NA
Explain the nature of fertility and fertility preservation services that are available and feasible to provide for transgender individuals.	Explain the nature of fertility and fertility preservation services that are available and feasible to provide for transgender individuals. - 5	Explain the nature of fertility and fertility preservation services that are available and feasible to provide for transgender individuals. - 4	Explain the nature of fertility and fertility preservation services that are available and feasible to provide for transgender individuals. - 3	Explain the nature of fertility and fertility preservation services that are available and feasible to provide for transgender individuals. - 2	Explain the nature of fertility and fertility preservation services that are available and feasible to provide for transgender individuals. - 1	Explain the nature of fertility and fertility preservation services that are available and feasible to provide for transgender individuals. - NA
Address issues with respect to timing of fertility and fertility preservation services in the transition from one gender to the other.	Address issues with respect to timing of fertility and fertility preservation services in the transition from one gender to the other. - 5	Address issues with respect to timing of fertility and fertility preservation services in the transition from one gender to the other. - 4	Address issues with respect to timing of fertility and fertility preservation services in the transition from one gender to the other. - 3	Address issues with respect to timing of fertility and fertility preservation services in the transition from one gender to the other. - 2	Address issues with respect to timing of fertility and fertility preservation services in the transition from one gender to the other. - 1	Address issues with respect to timing of fertility and fertility preservation services in the transition from one gender to the other. - NA
Identify potential medical, ethical, legal, and psychological risks associated with providing fertility and fertility preservation services to transgender individuals.	Identify potential medical, ethical, legal, and psychological risks associated with providing fertility and fertility preservation services to transgender individuals. - 5	Identify potential medical, ethical, legal, and psychological risks associated with providing fertility and fertility preservation services to transgender individuals. - 4	Identify potential medical, ethical, legal, and psychological risks associated with providing fertility and fertility preservation services to transgender individuals. - 3	Identify potential medical, ethical, legal, and psychological risks associated with providing fertility and fertility preservation services to transgender individuals. - 2	Identify potential medical, ethical, legal, and psychological risks associated with providing fertility and fertility preservation services to transgender individuals. - 1	Identify potential medical, ethical, legal, and psychological risks associated with providing fertility and fertility preservation services to transgender individuals. - NA

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
María del Carmen Bustillo, M.D.	María del Carmen Bustillo, M.D. - 5	María del Carmen Bustillo, M.D. - 4	María del Carmen Bustillo, M.D. - 3	María del Carmen Bustillo, M.D. - 2	María del Carmen Bustillo, M.D. - 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 - January 16, 2019