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 54321NA 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 As a result of attending this conference, to what extent do you agree that you will be better able to: (rate the objectives) * Scoring Key: 5=Strongly Agree 4= Somewhat agree 3=Neither agree nor disagree 2= Somewhat disagree 1=Strongly disagree NA=Not applicable 54321NA Distinguish between feedback and assessment. Distinguish between feedback and assessment. - 5 Distinguish between feedback and assessment. - 4 Distinguish between feedback and assessment. - 3 Distinguish between feedback and assessment. - 2 Distinguish between feedback and assessment. - 1 Distinguish between feedback and assessment. - NA Identify barriers to providing a meaningful assessment. Identify barriers to providing a meaningful assessment. - 5 Identify barriers to providing a meaningful assessment. - 4 Identify barriers to providing a meaningful assessment. - 3 Identify barriers to providing a meaningful assessment. - 2 Identify barriers to providing a meaningful assessment. - 1 Identify barriers to providing a meaningful assessment. - NA List one takeaway that you can apply to writing meaningful assessment comments. List one takeaway that you can apply to writing meaningful assessment comments. - 5 List one takeaway that you can apply to writing meaningful assessment comments. - 4 List one takeaway that you can apply to writing meaningful assessment comments. - 3 List one takeaway that you can apply to writing meaningful assessment comments. - 2 List one takeaway that you can apply to writing meaningful assessment comments. - 1 List one takeaway that you can apply to writing meaningful assessment comments. - NA How satisfied or dissatisfied were you with the following conference content? * Scoring Key: 5=Strongly satisfied 4= Somewhat satisfied 3=Neither satisfied nor dissatisfied 2= Somewhat dissatisfied 1=Strongly dissatisfied 54321 Lecture materials. Lecture materials. - 5 Lecture materials. - 4 Lecture materials. - 3 Lecture materials. - 2 Lecture materials. - 1 Speaker's effectiveness in addressing the learning objectives. Speaker's effectiveness in addressing the learning objectives. - 5 Speaker's effectiveness in addressing the learning objectives. - 4 Speaker's effectiveness in addressing the learning objectives. - 3 Speaker's effectiveness in addressing the learning objectives. - 2 Speaker's effectiveness in addressing the learning objectives. - 1 Was this course fair, balanced and without commercial bias? * Yes No If you checked "No,” please explain why: * How confident are you in your ability to: * 5 = High level of competence 4 = Moderately high level of competence 3 = Average level of competence 2 = Low level of competence 1 = No level of competence 54321 Distinguish between feedback and assessment? Distinguish between feedback and assessment? - 5 Distinguish between feedback and assessment? - 4 Distinguish between feedback and assessment? - 3 Distinguish between feedback and assessment? - 2 Distinguish between feedback and assessment? - 1 What barriers have you removed to be able to provide a meaningful assessment? * 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. Please select one: * M.D., D.O. Ph.D. Psy.D. DPM PA-C ARNP R.N. Pharmacist Respiratory Therapist SW/MFT/MHC Other... Please select one: Other... Name Leave this field blank
