Please select one: * I am in active clinical practice I am retired I am a student 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 543210 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 activity, 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 543210 Identify appropriate interventional candidates. Identify appropriate interventional candidates. - 5 Identify appropriate interventional candidates. - 4 Identify appropriate interventional candidates. - 3 Identify appropriate interventional candidates. - 2 Identify appropriate interventional candidates. - 1 Identify appropriate interventional candidates. - 0 Explain basic pain management interventional terms and procedures. Explain basic pain management interventional terms and procedures. - 5 Explain basic pain management interventional terms and procedures. - 4 Explain basic pain management interventional terms and procedures. - 3 Explain basic pain management interventional terms and procedures. - 2 Explain basic pain management interventional terms and procedures. - 1 Explain basic pain management interventional terms and procedures. - 0 Was this course fair, balanced and without commercial bias? * Yes No If you checked "No,” please explain why: * As a result of what was discussed at this activity what do you intend to do differently? Identify at least two learnings that could be incorporated into your practice * What are the potential barriers or obstacles that might prevent you from implementing new strategies you learned at this activity? * What topics would you like to be covered at future Grand Rounds? Comments Please select one: * M.D., D.O. Resident Ph.D. Psy.D. DPM PA-C APRN R.N. Pharmacist Respiratory Therapist Occupational Therapist Other... Please select one: Other... Name Leave this field blank
