Homestead Hospital Conference Evaluation - August 25, 2021

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

How confident are you in your ability to: *

5 = High level of confidence 4 = Moderately high level of confidence 3 = Average level of confidence 2 = Low level of confidence 1 = No level of confidence

	5	4	3	2	1
Honor patients’ wishes for specific medical intervention across healthcare sites.	Honor patients’ wishes for specific medical intervention across healthcare sites. - 5	Honor patients’ wishes for specific medical intervention across healthcare sites. - 4	Honor patients’ wishes for specific medical intervention across healthcare sites. - 3	Honor patients’ wishes for specific medical intervention across healthcare sites. - 2	Honor patients’ wishes for specific medical intervention across healthcare sites. - 1
Lead a Physician Orders for Life Sustaining Treatment (POLST) pilot project at your clinical practice site.	Lead a Physician Orders for Life Sustaining Treatment (POLST) pilot project at your clinical practice site. - 5	Lead a Physician Orders for Life Sustaining Treatment (POLST) pilot project at your clinical practice site. - 4	Lead a Physician Orders for Life Sustaining Treatment (POLST) pilot project at your clinical practice site. - 3	Lead a Physician Orders for Life Sustaining Treatment (POLST) pilot project at your clinical practice site. - 2	Lead a Physician Orders for Life Sustaining Treatment (POLST) pilot project at your clinical practice site. - 1

As a result of attending this course, to what extent do you agree that you will be better able to: *

Scoring Key: 5=Strongly Agree 4=Somewhat Agree 3=Neither Agree Nor Disagree 2=Somewhat Disagree 1=Strongly Disagree NA=Not applicable for my practice

	5	4	3	2	1	NA
Examine evidence-based data that support the use of POLST in conjunction with advance directives.	Examine evidence-based data that support the use of POLST in conjunction with advance directives. - 5	Examine evidence-based data that support the use of POLST in conjunction with advance directives. - 4	Examine evidence-based data that support the use of POLST in conjunction with advance directives. - 3	Examine evidence-based data that support the use of POLST in conjunction with advance directives. - 2	Examine evidence-based data that support the use of POLST in conjunction with advance directives. - 1	Examine evidence-based data that support the use of POLST in conjunction with advance directives. - NA
Identify the important concepts and decisions required in each section of a POLST order set.	Identify the important concepts and decisions required in each section of a POLST order set. - 5	Identify the important concepts and decisions required in each section of a POLST order set. - 4	Identify the important concepts and decisions required in each section of a POLST order set. - 3	Identify the important concepts and decisions required in each section of a POLST order set. - 2	Identify the important concepts and decisions required in each section of a POLST order set. - 1	Identify the important concepts and decisions required in each section of a POLST order set. - NA
Lead a POLST pilot project within the clinical practice site.	Lead a POLST pilot project within the clinical practice site. - 5	Lead a POLST pilot project within the clinical practice site. - 4	Lead a POLST pilot project within the clinical practice site. - 3	Lead a POLST pilot project within the clinical practice site. - 2	Lead a POLST pilot project within the clinical practice site. - 1	Lead a POLST pilot project within the clinical practice site. - NA

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.

Name

You are here

Homestead Hospital Conference Evaluation - August 25, 2021