Miami Cancer Institute Head and Neck Cancer Conference Evaluation

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 NA|Not applicable to my practice

	5	4	3	2	1
Recognize early and late oral complications from head and neck cancer.	Recognize early and late oral complications from head and neck cancer. - 5	Recognize early and late oral complications from head and neck cancer. - 4	Recognize early and late oral complications from head and neck cancer. - 3	Recognize early and late oral complications from head and neck cancer. - 2	Recognize early and late oral complications from head and neck cancer. - 1
Implement management strategies for patient with oral toxicities secondary to head and neck cancer.	Implement management strategies for patient with oral toxicities secondary to head and neck cancer. - 5	Implement management strategies for patient with oral toxicities secondary to head and neck cancer. - 4	Implement management strategies for patient with oral toxicities secondary to head and neck cancer. - 3	Implement management strategies for patient with oral toxicities secondary to head and neck cancer. - 2	Implement management strategies for patient with oral toxicities secondary to head and neck cancer. - 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
Neck Mass – Work Up - Meghan Crawley, M.D.	Neck Mass – Work Up - Meghan Crawley, M.D. - 5	Neck Mass – Work Up - Meghan Crawley, M.D. - 4	Neck Mass – Work Up - Meghan Crawley, M.D. - 3	Neck Mass – Work Up - Meghan Crawley, M.D. - 2	Neck Mass – Work Up - Meghan Crawley, M.D. - 1
Oral Lesion – Work Up - Alessandro Villa, DDS	Oral Lesion – Work Up - Alessandro Villa, DDS - 5	Oral Lesion – Work Up - Alessandro Villa, DDS - 4	Oral Lesion – Work Up - Alessandro Villa, DDS - 3	Oral Lesion – Work Up - Alessandro Villa, DDS - 2	Oral Lesion – Work Up - Alessandro Villa, DDS - 1
Managing Thyroid Nodules - Neeta Erinjeri, M.D.	Managing Thyroid Nodules - Neeta Erinjeri, M.D. - 5	Managing Thyroid Nodules - Neeta Erinjeri, M.D. - 4	Managing Thyroid Nodules - Neeta Erinjeri, M.D. - 3	Managing Thyroid Nodules - Neeta Erinjeri, M.D. - 2	Managing Thyroid Nodules - Neeta Erinjeri, M.D. - 1
Speaking to Patients and Families - Geoffrey Young, M.D.	Speaking to Patients and Families - Geoffrey Young, M.D. - 5	Speaking to Patients and Families - Geoffrey Young, M.D. - 4	Speaking to Patients and Families - Geoffrey Young, M.D. - 3	Speaking to Patients and Families - Geoffrey Young, M.D. - 2	Speaking to Patients and Families - Geoffrey Young, M.D. - 1
Early Palliative Care: Improving QOL in Head and Neck Cancer Patients - Suleyki Medina, M.D.	Early Palliative Care: Improving QOL in Head and Neck Cancer Patients - Suleyki Medina, M.D. - 5	Early Palliative Care: Improving QOL in Head and Neck Cancer Patients - Suleyki Medina, M.D. - 4	Early Palliative Care: Improving QOL in Head and Neck Cancer Patients - Suleyki Medina, M.D. - 3	Early Palliative Care: Improving QOL in Head and Neck Cancer Patients - Suleyki Medina, M.D. - 2	Early Palliative Care: Improving QOL in Head and Neck Cancer Patients - Suleyki Medina, M.D. - 1

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

Yes

No

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

As a result of my participation in this Symposium, I commit to make the following changes to my clinical practice: *

I will implement management and follow up strategies for patients with thyroid cancer.

I will discuss the latest research on oral lesions and how to generate differential diagnosis.

I will discuss surgical aspects of head and neck reconstruction.

Not applicable to my practice.

I do not agree with the recommendations presented.

How many patients will you see in your practice who will likely be impacted by what you learned at this activity? *

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

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Miami Cancer Institute Head and Neck Cancer Conference Evaluation