Homestead Hospital Evaluation - May 18, 2016

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
Identify human trafficking victims and perpetrators in clinical practice.	Identify human trafficking victims and perpetrators in clinical practice. - 5	Identify human trafficking victims and perpetrators in clinical practice. - 4	Identify human trafficking victims and perpetrators in clinical practice. - 3	Identify human trafficking victims and perpetrators in clinical practice. - 2	Identify human trafficking victims and perpetrators in clinical practice. - 1	Identify human trafficking victims and perpetrators in clinical practice. - 0
Recognize and screen for risk factors for potential victims of the human trafficking industry.	Recognize and screen for risk factors for potential victims of the human trafficking industry. - 5	Recognize and screen for risk factors for potential victims of the human trafficking industry. - 4	Recognize and screen for risk factors for potential victims of the human trafficking industry. - 3	Recognize and screen for risk factors for potential victims of the human trafficking industry. - 2	Recognize and screen for risk factors for potential victims of the human trafficking industry. - 1	Recognize and screen for risk factors for potential victims of the human trafficking industry. - 0
Appropriately refer patients who are victims of human trafficking to available resources.	Appropriately refer patients who are victims of human trafficking to available resources. - 5	Appropriately refer patients who are victims of human trafficking to available resources. - 4	Appropriately refer patients who are victims of human trafficking to available resources. - 3	Appropriately refer patients who are victims of human trafficking to available resources. - 2	Appropriately refer patients who are victims of human trafficking to available resources. - 1	Appropriately refer patients who are victims of human trafficking to available resources. - 0
Describe reporting requirements pertaining to victims of human trafficking who present in the clinical setting.	Describe reporting requirements pertaining to victims of human trafficking who present in the clinical setting. - 5	Describe reporting requirements pertaining to victims of human trafficking who present in the clinical setting. - 4	Describe reporting requirements pertaining to victims of human trafficking who present in the clinical setting. - 3	Describe reporting requirements pertaining to victims of human trafficking who present in the clinical setting. - 2	Describe reporting requirements pertaining to victims of human trafficking who present in the clinical setting. - 1	Describe reporting requirements pertaining to victims of human trafficking who present in the clinical setting. - 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
Victor Williams	Victor Williams - 5	Victor Williams - 4	Victor Williams - 3	Victor Williams - 2	Victor Williams - 1

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

Yes

No

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

What do you intend to do differently in the treatment of your patients as a result of what you learned? What new strategies will you apply in your practice of patient care? *

If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so. *

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Homestead Hospital Evaluation - May 18, 2016