Palliative Care Evaluation - October 28, 2021

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

	5	4	3	2	1
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 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

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
Utilize a multidisciplinary team approach to therapeutically communicate with patients and families in end of life COVID-19 situations?	Utilize a multidisciplinary team approach to therapeutically communicate with patients and families in end of life COVID-19 situations? - 5	Utilize a multidisciplinary team approach to therapeutically communicate with patients and families in end of life COVID-19 situations? - 4	Utilize a multidisciplinary team approach to therapeutically communicate with patients and families in end of life COVID-19 situations? - 3	Utilize a multidisciplinary team approach to therapeutically communicate with patients and families in end of life COVID-19 situations? - 2	Utilize a multidisciplinary team approach to therapeutically communicate with patients and families in end of life COVID-19 situations? - 1
To participate in goals of care conversations and deliver care that reduces suffering and improves quality of life for both the patient and the family?	To participate in goals of care conversations and deliver care that reduces suffering and improves quality of life for both the patient and the family? - 5	To participate in goals of care conversations and deliver care that reduces suffering and improves quality of life for both the patient and the family? - 4	To participate in goals of care conversations and deliver care that reduces suffering and improves quality of life for both the patient and the family? - 3	To participate in goals of care conversations and deliver care that reduces suffering and improves quality of life for both the patient and the family? - 2	To participate in goals of care conversations and deliver care that reduces suffering and improves quality of life for both the patient and the family? - 1

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

	5	4	3	2	1	N/A
Implement strategies to participate in more goals of care and advance care planning conversations.	Implement strategies to participate in more goals of care and advance care planning conversations. - 5	Implement strategies to participate in more goals of care and advance care planning conversations. - 4	Implement strategies to participate in more goals of care and advance care planning conversations. - 3	Implement strategies to participate in more goals of care and advance care planning conversations. - 2	Implement strategies to participate in more goals of care and advance care planning conversations. - 1	Implement strategies to participate in more goals of care and advance care planning conversations. - N/A
Deliver care to reduce suffering and improve quality of life for both the patient and the family.	Deliver care to reduce suffering and improve quality of life for both the patient and the family. - 5	Deliver care to reduce suffering and improve quality of life for both the patient and the family. - 4	Deliver care to reduce suffering and improve quality of life for both the patient and the family. - 3	Deliver care to reduce suffering and improve quality of life for both the patient and the family. - 2	Deliver care to reduce suffering and improve quality of life for both the patient and the family. - 1	Deliver care to reduce suffering and improve quality of life for both the patient and the family. - N/A
Collaborate with the multi-disciplinary team to support end of life care.	Collaborate with the multi-disciplinary team to support end of life care. - 5	Collaborate with the multi-disciplinary team to support end of life care. - 4	Collaborate with the multi-disciplinary team to support end of life care. - 3	Collaborate with the multi-disciplinary team to support end of life care. - 2	Collaborate with the multi-disciplinary team to support end of life care. - 1	Collaborate with the multi-disciplinary team to support end of life care. - N/A

How satisfied or dissatisfied were you with the speakers effectiveness in addressing the 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
Yuleidys Cruz, R.N.	Yuleidys Cruz, R.N. - 5	Yuleidys Cruz, R.N. - 4	Yuleidys Cruz, R.N. - 3	Yuleidys Cruz, R.N. - 2	Yuleidys Cruz, R.N. - 1
Brenda Daniels, M.D.	Brenda Daniels, M.D. - 5	Brenda Daniels, M.D. - 4	Brenda Daniels, M.D. - 3	Brenda Daniels, M.D. - 2	Brenda Daniels, M.D. - 1
Chaplain Maxine Millender	Chaplain Maxine Millender - 5	Chaplain Maxine Millender - 4	Chaplain Maxine Millender - 3	Chaplain Maxine Millender - 2	Chaplain Maxine Millender - 1
Cristina H. McCabe, MSW	Cristina H. McCabe, MSW - 5	Cristina H. McCabe, MSW - 4	Cristina H. McCabe, MSW - 3	Cristina H. McCabe, MSW - 2	Cristina H. McCabe, MSW - 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.

How did you hear about this course? *

How did you hear about this course? Other...

Name

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Palliative Care Evaluation - October 28, 2021