Homestead Hospital – NIH Stroke Hands-On Training Evaluation

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= Somewhat agree 3=Neither agree nor disagree 2= Somewhat disagree 1=Strongly disagree NA=Not applicable

	5	4	3	2	1	NA
The skills learned in this CME course enhanced my professional competence.	The skills learned in this CME course enhanced my professional competence. - 5	The skills learned in this CME course enhanced my professional competence. - 4	The skills learned in this CME course enhanced my professional competence. - 3	The skills learned in this CME course enhanced my professional competence. - 2	The skills learned in this CME course enhanced my professional competence. - 1	The skills learned in this CME course enhanced my professional competence. - NA
The skills learned in this CME course will be applied in the treatment of my patients	The skills learned in this CME course will be applied in the treatment of my patients - 5	The skills learned in this CME course will be applied in the treatment of my patients - 4	The skills learned in this CME course will be applied in the treatment of my patients - 3	The skills learned in this CME course will be applied in the treatment of my patients - 2	The skills learned in this CME course will be applied in the treatment of my patients - 1	The skills learned in this CME course will be applied in the treatment of my patients - NA

As a result of attending this conference, to what extent do you agree that you will be better able to: (rate the objectives) *

Scoring Key: 5=Strongly Agree 4= Somewhat agree 3=Neither agree nor disagree 2= Somewhat disagree 1=Strongly disagree NA=Not applicable

	5	4	3	2	1	N/A
Recognize the NIH Stroke Scale (NIHSS) and purpose of each part of the exam as it relates to the portion of the brain being tested.	Recognize the NIH Stroke Scale (NIHSS) and purpose of each part of the exam as it relates to the portion of the brain being tested. - 5	Recognize the NIH Stroke Scale (NIHSS) and purpose of each part of the exam as it relates to the portion of the brain being tested. - 4	Recognize the NIH Stroke Scale (NIHSS) and purpose of each part of the exam as it relates to the portion of the brain being tested. - 3	Recognize the NIH Stroke Scale (NIHSS) and purpose of each part of the exam as it relates to the portion of the brain being tested. - 2	Recognize the NIH Stroke Scale (NIHSS) and purpose of each part of the exam as it relates to the portion of the brain being tested. - 1	Recognize the NIH Stroke Scale (NIHSS) and purpose of each part of the exam as it relates to the portion of the brain being tested. - N/A
Identify acute stroke symptoms utilizing FAST-ED.	Identify acute stroke symptoms utilizing FAST-ED. - 5	Identify acute stroke symptoms utilizing FAST-ED. - 4	Identify acute stroke symptoms utilizing FAST-ED. - 3	Identify acute stroke symptoms utilizing FAST-ED. - 2	Identify acute stroke symptoms utilizing FAST-ED. - 1	Identify acute stroke symptoms utilizing FAST-ED. - N/A
Explain the purpose of administering the NIHSS.	Explain the purpose of administering the NIHSS. - 5	Explain the purpose of administering the NIHSS. - 4	Explain the purpose of administering the NIHSS. - 3	Explain the purpose of administering the NIHSS. - 2	Explain the purpose of administering the NIHSS. - 1	Explain the purpose of administering the NIHSS. - N/A
Perform and score an NIHSS exam on a volunteer “patient.”	Perform and score an NIHSS exam on a volunteer “patient.” - 5	Perform and score an NIHSS exam on a volunteer “patient.” - 4	Perform and score an NIHSS exam on a volunteer “patient.” - 3	Perform and score an NIHSS exam on a volunteer “patient.” - 2	Perform and score an NIHSS exam on a volunteer “patient.” - 1	Perform and score an NIHSS exam on a volunteer “patient.” - N/A

How satisfied or dissatisfied were you with the following conference content? *

Scoring Key: 5=Strongly satisfied 4= Somewhat satisfied 3=Neither satisfied nor dissatisfied 2= Somewhat dissatisfied 1=Strongly dissatisfied

	5	4	3	2	1
Lecture materials.	Lecture materials. - 5	Lecture materials. - 4	Lecture materials. - 3	Lecture materials. - 2	Lecture materials. - 1
Speaker's effectiveness in addressing the learning objectives.	Speaker's effectiveness in addressing the learning objectives. - 5	Speaker's effectiveness in addressing the learning objectives. - 4	Speaker's effectiveness in addressing the learning objectives. - 3	Speaker's effectiveness in addressing the learning objectives. - 2	Speaker's effectiveness in addressing the learning objectives. - 1

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

Yes

No

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

What, if any, new skills/strategies will you apply in your clinical practice? *

If you do not plan to implement any new skills/strategies in your clinical practice, what is keeping you from doing so? *

Please provide any additional comments or suggestions.

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Homestead Hospital – NIH Stroke Hands-On Training Evaluation