Palliative Management of Persons with Serious Illness Evaluation -April 25, 2018

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=Agree 3=Neutral 2=Disagree 1=Strongly Disagree 0=Not applicable to my practice

	5	4	3	2	1	0
The information and/or skills learned will enhance my professional competence or ability.	The information and/or skills learned will enhance my professional competence or ability. - 5	The information and/or skills learned will enhance my professional competence or ability. - 4	The information and/or skills learned will enhance my professional competence or ability. - 3	The information and/or skills learned will enhance my professional competence or ability. - 2	The information and/or skills learned will enhance my professional competence or ability. - 1	The information and/or skills learned will enhance my professional competence or ability. - 0
This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients.	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 5	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 4	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 3	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 2	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 1	This activity conveyed information which will assist me in improving the health and/or treatment outcomes of of my patients. - 0

As a result of participating in this course, to what extent do you agree that you will be better able to accomplish these objectives *

Scoring Key: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree 0=Not applicable to my practice

	5	4	3	2	1	0
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. - 0
Develop a classification scheme for establishing goals of care for the patient that combines the cognitive, affective, and psychomotor domains.	Develop a classification scheme for establishing goals of care for the patient that combines the cognitive, affective, and psychomotor domains. - 5	Develop a classification scheme for establishing goals of care for the patient that combines the cognitive, affective, and psychomotor domains. - 4	Develop a classification scheme for establishing goals of care for the patient that combines the cognitive, affective, and psychomotor domains. - 3	Develop a classification scheme for establishing goals of care for the patient that combines the cognitive, affective, and psychomotor domains. - 2	Develop a classification scheme for establishing goals of care for the patient that combines the cognitive, affective, and psychomotor domains. - 1	Develop a classification scheme for establishing goals of care for the patient that combines the cognitive, affective, and psychomotor domains. - 0
Analyze various religious views of death and dying.	Analyze various religious views of death and dying. - 5	Analyze various religious views of death and dying. - 4	Analyze various religious views of death and dying. - 3	Analyze various religious views of death and dying. - 2	Analyze various religious views of death and dying. - 1	Analyze various religious views of death and dying. - 0
Summarize palliative care techniques used for the patient in end-stage heart failure.	Summarize palliative care techniques used for the patient in end-stage heart failure. - 5	Summarize palliative care techniques used for the patient in end-stage heart failure. - 4	Summarize palliative care techniques used for the patient in end-stage heart failure. - 3	Summarize palliative care techniques used for the patient in end-stage heart failure. - 2	Summarize palliative care techniques used for the patient in end-stage heart failure. - 1	Summarize palliative care techniques used for the patient in end-stage heart failure. - 0

Rate the following *

Scoring Key: 5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor

	5	4	3	2	1
Course content.	Course content. - 5	Course content. - 4	Course content. - 3	Course content. - 2	Course content. - 1
Pain Assessment & Management in Serious Illness - Richard Payne, M.D.	Pain Assessment & Management in Serious Illness - Richard Payne, M.D. - 5	Pain Assessment & Management in Serious Illness - Richard Payne, M.D. - 4	Pain Assessment & Management in Serious Illness - Richard Payne, M.D. - 3	Pain Assessment & Management in Serious Illness - Richard Payne, M.D. - 2	Pain Assessment & Management in Serious Illness - Richard Payne, M.D. - 1
Symptom Management in Serious Illness - Ileana Leyva, M.D.	Symptom Management in Serious Illness - Ileana Leyva, M.D. - 5	Symptom Management in Serious Illness - Ileana Leyva, M.D. - 4	Symptom Management in Serious Illness - Ileana Leyva, M.D. - 3	Symptom Management in Serious Illness - Ileana Leyva, M.D. - 2	Symptom Management in Serious Illness - Ileana Leyva, M.D. - 1
Delirium Prevention & Management - Tracy Romanello, D.O.	Delirium Prevention & Management - Tracy Romanello, D.O. - 5	Delirium Prevention & Management - Tracy Romanello, D.O. - 4	Delirium Prevention & Management - Tracy Romanello, D.O. - 3	Delirium Prevention & Management - Tracy Romanello, D.O. - 2	Delirium Prevention & Management - Tracy Romanello, D.O. - 1
Communication & Goals of Care - Ileana Leyva, M.D. and Mariana Khawand-Azoulai, M.D.	Communication & Goals of Care - Ileana Leyva, M.D. and Mariana Khawand-Azoulai, M.D. - 5	Communication & Goals of Care - Ileana Leyva, M.D. and Mariana Khawand-Azoulai, M.D. - 4	Communication & Goals of Care - Ileana Leyva, M.D. and Mariana Khawand-Azoulai, M.D. - 3	Communication & Goals of Care - Ileana Leyva, M.D. and Mariana Khawand-Azoulai, M.D. - 2	Communication & Goals of Care - Ileana Leyva, M.D. and Mariana Khawand-Azoulai, M.D. - 1
Withdrawing & Withholding Treatment - Joseph Shega, M.D. and Suleyki Medina, M.D.	Withdrawing & Withholding Treatment - Joseph Shega, M.D. and Suleyki Medina, M.D. - 5	Withdrawing & Withholding Treatment - Joseph Shega, M.D. and Suleyki Medina, M.D. - 4	Withdrawing & Withholding Treatment - Joseph Shega, M.D. and Suleyki Medina, M.D. - 3	Withdrawing & Withholding Treatment - Joseph Shega, M.D. and Suleyki Medina, M.D. - 2	Withdrawing & Withholding Treatment - Joseph Shega, M.D. and Suleyki Medina, M.D. - 1
Spirituality and Advance Care Planning - Rev. Manuel Soler and Rev. Bismarcg Reytor-Fernandez	Spirituality and Advance Care Planning - Rev. Manuel Soler and Rev. Bismarcg Reytor-Fernandez - 5	Spirituality and Advance Care Planning - Rev. Manuel Soler and Rev. Bismarcg Reytor-Fernandez - 4	Spirituality and Advance Care Planning - Rev. Manuel Soler and Rev. Bismarcg Reytor-Fernandez - 3	Spirituality and Advance Care Planning - Rev. Manuel Soler and Rev. Bismarcg Reytor-Fernandez - 2	Spirituality and Advance Care Planning - Rev. Manuel Soler and Rev. Bismarcg Reytor-Fernandez - 1
Recognizing Cultural Diversity in Patients with Serious Illness - Richard Payne, M.D	Recognizing Cultural Diversity in Patients with Serious Illness - Richard Payne, M.D - 5	Recognizing Cultural Diversity in Patients with Serious Illness - Richard Payne, M.D - 4	Recognizing Cultural Diversity in Patients with Serious Illness - Richard Payne, M.D - 3	Recognizing Cultural Diversity in Patients with Serious Illness - Richard Payne, M.D - 2	Recognizing Cultural Diversity in Patients with Serious Illness - Richard Payne, M.D - 1

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

Yes

No

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

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

1-5

6-10

Over 10

Not applicable to my practice

Please list specific changes you intend to implement in your daily practice as a result of attending this activity. *

If you do not plan to implement any new strategies learned, please list any barriers or obstacles that might keep you from doing so. *

List topics related to this lecture that you want to learn more about?

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Palliative Management of Persons with Serious Illness Evaluation -April 25, 2018