Doctors Hospital Conference Evaluation - December 18, 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
Implement questions to encourage learner self-reflection when giving feedback, making giving feedback a conversation rather than uni-directional.	Implement questions to encourage learner self-reflection when giving feedback, making giving feedback a conversation rather than uni-directional. - 5	Implement questions to encourage learner self-reflection when giving feedback, making giving feedback a conversation rather than uni-directional. - 4	Implement questions to encourage learner self-reflection when giving feedback, making giving feedback a conversation rather than uni-directional. - 3	Implement questions to encourage learner self-reflection when giving feedback, making giving feedback a conversation rather than uni-directional. - 2	Implement questions to encourage learner self-reflection when giving feedback, making giving feedback a conversation rather than uni-directional. - 1	Implement questions to encourage learner self-reflection when giving feedback, making giving feedback a conversation rather than uni-directional. - 0
Ask learners about specific, measurable, achievable, relevant, time-bound (SMART) plans to help move forward in their learning.	Ask learners about specific, measurable, achievable, relevant, time-bound (SMART) plans to help move forward in their learning. - 5	Ask learners about specific, measurable, achievable, relevant, time-bound (SMART) plans to help move forward in their learning. - 4	Ask learners about specific, measurable, achievable, relevant, time-bound (SMART) plans to help move forward in their learning. - 3	Ask learners about specific, measurable, achievable, relevant, time-bound (SMART) plans to help move forward in their learning. - 2	Ask learners about specific, measurable, achievable, relevant, time-bound (SMART) plans to help move forward in their learning. - 1	Ask learners about specific, measurable, achievable, relevant, time-bound (SMART) plans to help move forward in their learning. - 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
Suzanne Minor, M.D., FAAFP	Suzanne Minor, M.D., FAAFP - 5	Suzanne Minor, M.D., FAAFP - 4	Suzanne Minor, M.D., FAAFP - 3	Suzanne Minor, M.D., FAAFP - 2	Suzanne Minor, M.D., FAAFP - 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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Doctors Hospital Conference Evaluation - December 18, 2018