Mental Health Evaluation - February 22, 2022

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
Effectively communicate with pediatric patients and their families in a number of common settings and situations?	Effectively communicate with pediatric patients and their families in a number of common settings and situations? - 5	Effectively communicate with pediatric patients and their families in a number of common settings and situations? - 4	Effectively communicate with pediatric patients and their families in a number of common settings and situations? - 3	Effectively communicate with pediatric patients and their families in a number of common settings and situations? - 2	Effectively communicate with pediatric patients and their families in a number of common settings and situations? - 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
Describe why provider-patient communication so important and when it is “good enough".	Describe why provider-patient communication so important and when it is “good enough". - 5	Describe why provider-patient communication so important and when it is “good enough". - 4	Describe why provider-patient communication so important and when it is “good enough". - 3	Describe why provider-patient communication so important and when it is “good enough". - 2	Describe why provider-patient communication so important and when it is “good enough". - 1
Identify how cultural background, family dynamics and other psychosocial factors can affect the communication process, and how meeting families where they are facilitates positive interactions.	Identify how cultural background, family dynamics and other psychosocial factors can affect the communication process, and how meeting families where they are facilitates positive interactions. - 5	Identify how cultural background, family dynamics and other psychosocial factors can affect the communication process, and how meeting families where they are facilitates positive interactions. - 4	Identify how cultural background, family dynamics and other psychosocial factors can affect the communication process, and how meeting families where they are facilitates positive interactions. - 3	Identify how cultural background, family dynamics and other psychosocial factors can affect the communication process, and how meeting families where they are facilitates positive interactions. - 2	Identify how cultural background, family dynamics and other psychosocial factors can affect the communication process, and how meeting families where they are facilitates positive interactions. - 1
Consider the importance of developmental factors and use them to improve messaging and compliance.	Consider the importance of developmental factors and use them to improve messaging and compliance. - 5	Consider the importance of developmental factors and use them to improve messaging and compliance. - 4	Consider the importance of developmental factors and use them to improve messaging and compliance. - 3	Consider the importance of developmental factors and use them to improve messaging and compliance. - 2	Consider the importance of developmental factors and use them to improve messaging and compliance. - 1
Discuss the power of empathy as a universal communication tool, and describe the strengths and weaknesses of various communication strategies.	Discuss the power of empathy as a universal communication tool, and describe the strengths and weaknesses of various communication strategies. - 5	Discuss the power of empathy as a universal communication tool, and describe the strengths and weaknesses of various communication strategies. - 4	Discuss the power of empathy as a universal communication tool, and describe the strengths and weaknesses of various communication strategies. - 3	Discuss the power of empathy as a universal communication tool, and describe the strengths and weaknesses of various communication strategies. - 2	Discuss the power of empathy as a universal communication tool, and describe the strengths and weaknesses of various communication strategies. - 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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Mental Health Evaluation - February 22, 2022