Pediatric Emergency Medicine Evaluation - May 8, 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
Identify and plan for potential risks to pediatric patients following a disaster.	Identify and plan for potential risks to pediatric patients following a disaster. - 5	Identify and plan for potential risks to pediatric patients following a disaster. - 4	Identify and plan for potential risks to pediatric patients following a disaster. - 3	Identify and plan for potential risks to pediatric patients following a disaster. - 2	Identify and plan for potential risks to pediatric patients following a disaster. - 1	Identify and plan for potential risks to pediatric patients following a disaster. - 0
Organize an approach to disaster preparedness using the Department of Homeland Security response framework.	Organize an approach to disaster preparedness using the Department of Homeland Security response framework. - 5	Organize an approach to disaster preparedness using the Department of Homeland Security response framework. - 4	Organize an approach to disaster preparedness using the Department of Homeland Security response framework. - 3	Organize an approach to disaster preparedness using the Department of Homeland Security response framework. - 2	Organize an approach to disaster preparedness using the Department of Homeland Security response framework. - 1	Organize an approach to disaster preparedness using the Department of Homeland Security response framework. - 0
Engage an organization in disaster preparedness.	Engage an organization in disaster preparedness. - 5	Engage an organization in disaster preparedness. - 4	Engage an organization in disaster preparedness. - 3	Engage an organization in disaster preparedness. - 2	Engage an organization in disaster preparedness. - 1	Engage an organization in disaster preparedness. - 0
Advocate for disaster drills in the pediatric emergency department, children’s hospital and other work environments.	Advocate for disaster drills in the pediatric emergency department, children’s hospital and other work environments. - 5	Advocate for disaster drills in the pediatric emergency department, children’s hospital and other work environments. - 4	Advocate for disaster drills in the pediatric emergency department, children’s hospital and other work environments. - 3	Advocate for disaster drills in the pediatric emergency department, children’s hospital and other work environments. - 2	Advocate for disaster drills in the pediatric emergency department, children’s hospital and other work environments. - 1	Advocate for disaster drills in the pediatric emergency department, children’s hospital and other work environments. - 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
Joan E. Shook M.D., MBA	Joan E. Shook M.D., MBA - 5	Joan E. Shook M.D., MBA - 4	Joan E. Shook M.D., MBA - 3	Joan E. Shook M.D., MBA - 2	Joan E. Shook M.D., MBA - 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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Pediatric Emergency Medicine Evaluation - May 8, 2018