Conversations in Ethics Evaluation - May 23, 2018

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 0=Not applicable to my practice

	5	4	3	2	1	0
Explain the religious underpinnings and historical precedents that support opposition to physician- assisted suicide (PAS).	Explain the religious underpinnings and historical precedents that support opposition to physician- assisted suicide (PAS). - 5	Explain the religious underpinnings and historical precedents that support opposition to physician- assisted suicide (PAS). - 4	Explain the religious underpinnings and historical precedents that support opposition to physician- assisted suicide (PAS). - 3	Explain the religious underpinnings and historical precedents that support opposition to physician- assisted suicide (PAS). - 2	Explain the religious underpinnings and historical precedents that support opposition to physician- assisted suicide (PAS). - 1	Explain the religious underpinnings and historical precedents that support opposition to physician- assisted suicide (PAS). - 0
Define the ethical concept of the “slippery slope” and its impact on legalized PAS in the Netherlands.	Define the ethical concept of the “slippery slope” and its impact on legalized PAS in the Netherlands. - 5	Define the ethical concept of the “slippery slope” and its impact on legalized PAS in the Netherlands. - 4	Define the ethical concept of the “slippery slope” and its impact on legalized PAS in the Netherlands. - 3	Define the ethical concept of the “slippery slope” and its impact on legalized PAS in the Netherlands. - 2	Define the ethical concept of the “slippery slope” and its impact on legalized PAS in the Netherlands. - 1	Define the ethical concept of the “slippery slope” and its impact on legalized PAS in the Netherlands. - 0
Examine insights gained during the 20 years since Oregon passed the “Death with Dignity Act.”	Examine insights gained during the 20 years since Oregon passed the “Death with Dignity Act.” - 5	Examine insights gained during the 20 years since Oregon passed the “Death with Dignity Act.” - 4	Examine insights gained during the 20 years since Oregon passed the “Death with Dignity Act.” - 3	Examine insights gained during the 20 years since Oregon passed the “Death with Dignity Act.” - 2	Examine insights gained during the 20 years since Oregon passed the “Death with Dignity Act.” - 1	Examine insights gained during the 20 years since Oregon passed the “Death with Dignity Act.” - 0
Identify key components of the PAS laws under consideration in 30 states that highlight patient rights to self-determination about how and when they die.	Identify key components of the PAS laws under consideration in 30 states that highlight patient rights to self-determination about how and when they die. - 5	Identify key components of the PAS laws under consideration in 30 states that highlight patient rights to self-determination about how and when they die. - 4	Identify key components of the PAS laws under consideration in 30 states that highlight patient rights to self-determination about how and when they die. - 3	Identify key components of the PAS laws under consideration in 30 states that highlight patient rights to self-determination about how and when they die. - 2	Identify key components of the PAS laws under consideration in 30 states that highlight patient rights to self-determination about how and when they die. - 1	Identify key components of the PAS laws under consideration in 30 states that highlight patient rights to self-determination about how and when they die. - 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
Barry Kinzbrunner, M.D.	Barry Kinzbrunner, M.D. - 5	Barry Kinzbrunner, M.D. - 4	Barry Kinzbrunner, M.D. - 3	Barry Kinzbrunner, M.D. - 2	Barry Kinzbrunner, M.D. - 1
Fleur Sack, M.D., LLC	Fleur Sack, M.D., LLC - 5	Fleur Sack, M.D., LLC - 4	Fleur Sack, M.D., LLC - 3	Fleur Sack, M.D., LLC - 2	Fleur Sack, M.D., LLC - 1
Ana Viamonte-Ros, M.D., MPH	Ana Viamonte-Ros, M.D., MPH - 5	Ana Viamonte-Ros, M.D., MPH - 4	Ana Viamonte-Ros, M.D., MPH - 3	Ana Viamonte-Ros, M.D., MPH - 2	Ana Viamonte-Ros, M.D., MPH - 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 - May 23, 2018