Palliative Care Evaluation - October 29, 2019

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

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	NA
Compose a plan of action to alleviate pain and suffering in the palliative care patient for both pain and non-pain symptoms.	Compose a plan of action to alleviate pain and suffering in the palliative care patient for both pain and non-pain symptoms. - 5	Compose a plan of action to alleviate pain and suffering in the palliative care patient for both pain and non-pain symptoms. - 4	Compose a plan of action to alleviate pain and suffering in the palliative care patient for both pain and non-pain symptoms. - 3	Compose a plan of action to alleviate pain and suffering in the palliative care patient for both pain and non-pain symptoms. - 2	Compose a plan of action to alleviate pain and suffering in the palliative care patient for both pain and non-pain symptoms. - 1	Compose a plan of action to alleviate pain and suffering in the palliative care patient for both pain and non-pain symptoms. - NA
Utilize an evidence-based methodology when conducting a family conference.	Utilize an evidence-based methodology when conducting a family conference. - 5	Utilize an evidence-based methodology when conducting a family conference. - 4	Utilize an evidence-based methodology when conducting a family conference. - 3	Utilize an evidence-based methodology when conducting a family conference. - 2	Utilize an evidence-based methodology when conducting a family conference. - 1	Utilize an evidence-based methodology when conducting a family conference. - NA
Compare different treatment modalities for pain management.	Compare different treatment modalities for pain management. - 5	Compare different treatment modalities for pain management. - 4	Compare different treatment modalities for pain management. - 3	Compare different treatment modalities for pain management. - 2	Compare different treatment modalities for pain management. - 1	Compare different treatment modalities for pain management. - NA
Differentiate between a plan of care and an advance care plan.	Differentiate between a plan of care and an advance care plan. - 5	Differentiate between a plan of care and an advance care plan. - 4	Differentiate between a plan of care and an advance care plan. - 3	Differentiate between a plan of care and an advance care plan. - 2	Differentiate between a plan of care and an advance care plan. - 1	Differentiate between a plan of care and an advance care plan. - NA

How satisfied or dissatisfied were you with 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
Icebreaker - Rochelle Clarke, PhD, LMFT, MSHR	Icebreaker - Rochelle Clarke, PhD, LMFT, MSHR - 5	Icebreaker - Rochelle Clarke, PhD, LMFT, MSHR - 4	Icebreaker - Rochelle Clarke, PhD, LMFT, MSHR - 3	Icebreaker - Rochelle Clarke, PhD, LMFT, MSHR - 2	Icebreaker - Rochelle Clarke, PhD, LMFT, MSHR - 1
Anticipatory Grief for Patients/Families, compassion Fatigue, and Staff Wellness - Rochelle Clarke, PhD, LMFT, MSHR	Anticipatory Grief for Patients/Families, compassion Fatigue, and Staff Wellness - Rochelle Clarke, PhD, LMFT, MSHR - 5	Anticipatory Grief for Patients/Families, compassion Fatigue, and Staff Wellness - Rochelle Clarke, PhD, LMFT, MSHR - 4	Anticipatory Grief for Patients/Families, compassion Fatigue, and Staff Wellness - Rochelle Clarke, PhD, LMFT, MSHR - 3	Anticipatory Grief for Patients/Families, compassion Fatigue, and Staff Wellness - Rochelle Clarke, PhD, LMFT, MSHR - 2	Anticipatory Grief for Patients/Families, compassion Fatigue, and Staff Wellness - Rochelle Clarke, PhD, LMFT, MSHR - 1
Medical Cannabis and the Role in Palliative Care - Ann-Marie Wong, M.D.	Medical Cannabis and the Role in Palliative Care - Ann-Marie Wong, M.D. - 5	Medical Cannabis and the Role in Palliative Care - Ann-Marie Wong, M.D. - 4	Medical Cannabis and the Role in Palliative Care - Ann-Marie Wong, M.D. - 3	Medical Cannabis and the Role in Palliative Care - Ann-Marie Wong, M.D. - 2	Medical Cannabis and the Role in Palliative Care - Ann-Marie Wong, M.D. - 1
Pulmonary Fibrosis-Aggressive Care vs. Symptom Management - Aymarah Robles, M.D.	Pulmonary Fibrosis-Aggressive Care vs. Symptom Management - Aymarah Robles, M.D. - 5	Pulmonary Fibrosis-Aggressive Care vs. Symptom Management - Aymarah Robles, M.D. - 4	Pulmonary Fibrosis-Aggressive Care vs. Symptom Management - Aymarah Robles, M.D. - 3	Pulmonary Fibrosis-Aggressive Care vs. Symptom Management - Aymarah Robles, M.D. - 2	Pulmonary Fibrosis-Aggressive Care vs. Symptom Management - Aymarah Robles, M.D. - 1
How to Prognosticate - Melanie Skelton, M.D.	How to Prognosticate - Melanie Skelton, M.D. - 5	How to Prognosticate - Melanie Skelton, M.D. - 4	How to Prognosticate - Melanie Skelton, M.D. - 3	How to Prognosticate - Melanie Skelton, M.D. - 2	How to Prognosticate - Melanie Skelton, M.D. - 1
Dealing with Difficult Family Dynamics, Conducting a Successful Family Meeting, and Synergy with Referral Sources - Tracy Romanello, D.O.	Dealing with Difficult Family Dynamics, Conducting a Successful Family Meeting, and Synergy with Referral Sources - Tracy Romanello, D.O. - 5	Dealing with Difficult Family Dynamics, Conducting a Successful Family Meeting, and Synergy with Referral Sources - Tracy Romanello, D.O. - 4	Dealing with Difficult Family Dynamics, Conducting a Successful Family Meeting, and Synergy with Referral Sources - Tracy Romanello, D.O. - 3	Dealing with Difficult Family Dynamics, Conducting a Successful Family Meeting, and Synergy with Referral Sources - Tracy Romanello, D.O. - 2	Dealing with Difficult Family Dynamics, Conducting a Successful Family Meeting, and Synergy with Referral Sources - Tracy Romanello, D.O. - 1
Pain Management in the Context of an Opioid Epidemic - Joseph Shega, M.D.	Pain Management in the Context of an Opioid Epidemic - Joseph Shega, M.D. - 5	Pain Management in the Context of an Opioid Epidemic - Joseph Shega, M.D. - 4	Pain Management in the Context of an Opioid Epidemic - Joseph Shega, M.D. - 3	Pain Management in the Context of an Opioid Epidemic - Joseph Shega, M.D. - 2	Pain Management in the Context of an Opioid Epidemic - Joseph Shega, M.D. - 1
Music Therapy - Laura Chami, MM, MT-BC	Music Therapy - Laura Chami, MM, MT-BC - 5	Music Therapy - Laura Chami, MM, MT-BC - 4	Music Therapy - Laura Chami, MM, MT-BC - 3	Music Therapy - Laura Chami, MM, MT-BC - 2	Music Therapy - Laura Chami, MM, MT-BC - 1
Non-Pain Symptom Management - Melanie Skelton, M.D.	Non-Pain Symptom Management - Melanie Skelton, M.D. - 5	Non-Pain Symptom Management - Melanie Skelton, M.D. - 4	Non-Pain Symptom Management - Melanie Skelton, M.D. - 3	Non-Pain Symptom Management - Melanie Skelton, M.D. - 2	Non-Pain Symptom Management - Melanie Skelton, M.D. - 1
When Ethics Meet Clinical Care at the End-of-Life - Sanaz Kashan, M.D.	When Ethics Meet Clinical Care at the End-of-Life - Sanaz Kashan, M.D. - 5	When Ethics Meet Clinical Care at the End-of-Life - Sanaz Kashan, M.D. - 4	When Ethics Meet Clinical Care at the End-of-Life - Sanaz Kashan, M.D. - 3	When Ethics Meet Clinical Care at the End-of-Life - Sanaz Kashan, M.D. - 2	When Ethics Meet Clinical Care at the End-of-Life - Sanaz Kashan, M.D. - 1
Compassionate Extubation: Evidence-Based Practices - Ileana Leyva, M.D.	Compassionate Extubation: Evidence-Based Practices - Ileana Leyva, M.D. - 5	Compassionate Extubation: Evidence-Based Practices - Ileana Leyva, M.D. - 4	Compassionate Extubation: Evidence-Based Practices - Ileana Leyva, M.D. - 3	Compassionate Extubation: Evidence-Based Practices - Ileana Leyva, M.D. - 2	Compassionate Extubation: Evidence-Based Practices - Ileana Leyva, M.D. - 1
Reflections - Tracy Romanello, D.O.	Reflections - Tracy Romanello, D.O. - 5	Reflections - Tracy Romanello, D.O. - 4	Reflections - Tracy Romanello, D.O. - 3	Reflections - Tracy Romanello, D.O. - 2	Reflections - Tracy Romanello, D.O. - 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.

Name

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Palliative Care Evaluation - October 29, 2019