Promoting Physician Wellness: Recognizing the Signs of Fatigue - Evaluation June 16, 2016

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
Summarize medical literature supporting ACGME guidelines for work hour restrictions.	Summarize medical literature supporting ACGME guidelines for work hour restrictions. - 5	Summarize medical literature supporting ACGME guidelines for work hour restrictions. - 4	Summarize medical literature supporting ACGME guidelines for work hour restrictions. - 3	Summarize medical literature supporting ACGME guidelines for work hour restrictions. - 2	Summarize medical literature supporting ACGME guidelines for work hour restrictions. - 1	Summarize medical literature supporting ACGME guidelines for work hour restrictions. - 0
Describe the impact of sleep loss and fatigue on cognitive function and fatigue.	Describe the impact of sleep loss and fatigue on cognitive function and fatigue. - 5	Describe the impact of sleep loss and fatigue on cognitive function and fatigue. - 4	Describe the impact of sleep loss and fatigue on cognitive function and fatigue. - 3	Describe the impact of sleep loss and fatigue on cognitive function and fatigue. - 2	Describe the impact of sleep loss and fatigue on cognitive function and fatigue. - 1	Describe the impact of sleep loss and fatigue on cognitive function and fatigue. - 0
Recognize the signs of fatigue and sleep deprivation.	Recognize the signs of fatigue and sleep deprivation. - 5	Recognize the signs of fatigue and sleep deprivation. - 4	Recognize the signs of fatigue and sleep deprivation. - 3	Recognize the signs of fatigue and sleep deprivation. - 2	Recognize the signs of fatigue and sleep deprivation. - 1	Recognize the signs of fatigue and sleep deprivation. - 0
Implement strategies for alertness management and fatigue mitigation.	Implement strategies for alertness management and fatigue mitigation. - 5	Implement strategies for alertness management and fatigue mitigation. - 4	Implement strategies for alertness management and fatigue mitigation. - 3	Implement strategies for alertness management and fatigue mitigation. - 2	Implement strategies for alertness management and fatigue mitigation. - 1	Implement strategies for alertness management and fatigue mitigation. - 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
Dana O. Mato, Psy. D.	Dana O. Mato, Psy. D. - 5	Dana O. Mato, Psy. D. - 4	Dana O. Mato, Psy. D. - 3	Dana O. Mato, Psy. D. - 2	Dana O. Mato, Psy. 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

What do you intend to do differently in the treatment of your patients as a result of what you learned? What new strategies will you apply in your practice of patient care? *

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

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Promoting Physician Wellness: Recognizing the Signs of Fatigue - Evaluation June 16, 2016