Mental Health Conference Series: Decision-Making Capacity: Understanding Capacity Concepts, Evaluation and Role of Proxy Clinical Decision Makers - February 26, 2025

Please select one: *

I am in active clinical practice

I am retired

I am a student

Other

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
Apply evidence-based clinical methods to assess a patient’s decision-making capacity.	Apply evidence-based clinical methods to assess a patient’s decision-making capacity. - 5	Apply evidence-based clinical methods to assess a patient’s decision-making capacity. - 4	Apply evidence-based clinical methods to assess a patient’s decision-making capacity. - 3	Apply evidence-based clinical methods to assess a patient’s decision-making capacity. - 2	Apply evidence-based clinical methods to assess a patient’s decision-making capacity. - 1
Recognize the responsibilities and limitations of proxy healthcare decision-makers	Recognize the responsibilities and limitations of proxy healthcare decision-makers - 5	Recognize the responsibilities and limitations of proxy healthcare decision-makers - 4	Recognize the responsibilities and limitations of proxy healthcare decision-makers - 3	Recognize the responsibilities and limitations of proxy healthcare decision-makers - 2	Recognize the responsibilities and limitations of proxy healthcare decision-makers - 1

How satisfied or dissatisfied were you with the Speaker's effectiveness in addressing the learning objectives? *

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

	5	4	3	2	1
Define the core components of decision-making capacity.	Define the core components of decision-making capacity. - 5	Define the core components of decision-making capacity. - 4	Define the core components of decision-making capacity. - 3	Define the core components of decision-making capacity. - 2	Define the core components of decision-making capacity. - 1
Apply evidence-based clinical methods to assess a patient’s decision-making capacity.	Apply evidence-based clinical methods to assess a patient’s decision-making capacity. - 5	Apply evidence-based clinical methods to assess a patient’s decision-making capacity. - 4	Apply evidence-based clinical methods to assess a patient’s decision-making capacity. - 3	Apply evidence-based clinical methods to assess a patient’s decision-making capacity. - 2	Apply evidence-based clinical methods to assess a patient’s decision-making capacity. - 1
Describe the responsibilities and limitations of proxy healthcare decision-makers, particularly in cases where legal documentation formalizes the role.	Describe the responsibilities and limitations of proxy healthcare decision-makers, particularly in cases where legal documentation formalizes the role. - 5	Describe the responsibilities and limitations of proxy healthcare decision-makers, particularly in cases where legal documentation formalizes the role. - 4	Describe the responsibilities and limitations of proxy healthcare decision-makers, particularly in cases where legal documentation formalizes the role. - 3	Describe the responsibilities and limitations of proxy healthcare decision-makers, particularly in cases where legal documentation formalizes the role. - 2	Describe the responsibilities and limitations of proxy healthcare decision-makers, particularly in cases where legal documentation formalizes the role. - 1

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

Yes

No

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

Rate the Following *

Scoring Key: 5=Great Deal 4= A Good Bit 3=Some 2=Little 1=Very Little

	5	4	3	2	1
How much did you learn as a result of this CE program?	How much did you learn as a result of this CE program? - 5	How much did you learn as a result of this CE program? - 4	How much did you learn as a result of this CE program? - 3	How much did you learn as a result of this CE program? - 2	How much did you learn as a result of this CE program? - 1
How useful was the content of this CE program for your practice or other professional development?	How useful was the content of this CE program for your practice or other professional development? - 5	How useful was the content of this CE program for your practice or other professional development? - 4	How useful was the content of this CE program for your practice or other professional development? - 3	How useful was the content of this CE program for your practice or other professional development? - 2	How useful was the content of this CE program for your practice or other professional development? - 1

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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Mental Health Conference Series: Decision-Making Capacity: Understanding Capacity Concepts, Evaluation and Role of Proxy Clinical Decision Makers - February 26, 2025