Evaluation UPC Course

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Professional Category Other...

How well were you able to achieve the below learning objectives? *

	Completely	Almost Completely	Somewhat	Not at All
Identify disruptive and inappropriate behaviors in communicating with colleagues, patients, and families	Identify disruptive and inappropriate behaviors in communicating with colleagues, patients, and families - Completely	Identify disruptive and inappropriate behaviors in communicating with colleagues, patients, and families - Almost Completely	Identify disruptive and inappropriate behaviors in communicating with colleagues, patients, and families - Somewhat	Identify disruptive and inappropriate behaviors in communicating with colleagues, patients, and families - Not at All
Define microaggressions and describe how they manifest in medicine	Define microaggressions and describe how they manifest in medicine - Completely	Define microaggressions and describe how they manifest in medicine - Almost Completely	Define microaggressions and describe how they manifest in medicine - Somewhat	Define microaggressions and describe how they manifest in medicine - Not at All
Discuss practical strategies for cultivating consistent messaging between providers to maintain unified clinician-patient communication	Discuss practical strategies for cultivating consistent messaging between providers to maintain unified clinician-patient communication - Completely	Discuss practical strategies for cultivating consistent messaging between providers to maintain unified clinician-patient communication - Almost Completely	Discuss practical strategies for cultivating consistent messaging between providers to maintain unified clinician-patient communication - Somewhat	Discuss practical strategies for cultivating consistent messaging between providers to maintain unified clinician-patient communication - Not at All

Please rate the following statements: *

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The content was clearly organized.	The content was clearly organized. - Strongly Agree	The content was clearly organized. - Agree	The content was clearly organized. - Neutral	The content was clearly organized. - Disagree	The content was clearly organized. - Strongly Disagree
The speaker(s) were knowledgeable.	The speaker(s) were knowledgeable. - Strongly Agree	The speaker(s) were knowledgeable. - Agree	The speaker(s) were knowledgeable. - Neutral	The speaker(s) were knowledgeable. - Disagree	The speaker(s) were knowledgeable. - Strongly Disagree
Participation in this activity increased my professional competence.	Participation in this activity increased my professional competence. - Strongly Agree	Participation in this activity increased my professional competence. - Agree	Participation in this activity increased my professional competence. - Neutral	Participation in this activity increased my professional competence. - Disagree	Participation in this activity increased my professional competence. - Strongly Disagree
Participation in this activity will improve my performance skills in my practice setting.	Participation in this activity will improve my performance skills in my practice setting. - Strongly Agree	Participation in this activity will improve my performance skills in my practice setting. - Agree	Participation in this activity will improve my performance skills in my practice setting. - Neutral	Participation in this activity will improve my performance skills in my practice setting. - Disagree	Participation in this activity will improve my performance skills in my practice setting. - Strongly Disagree
Participation in this activity will assist in the improvement of my patient outcomes.	Participation in this activity will assist in the improvement of my patient outcomes. - Strongly Agree	Participation in this activity will assist in the improvement of my patient outcomes. - Agree	Participation in this activity will assist in the improvement of my patient outcomes. - Neutral	Participation in this activity will assist in the improvement of my patient outcomes. - Disagree	Participation in this activity will assist in the improvement of my patient outcomes. - Strongly Disagree
The educational design and format of this activity facilitated my learning.	The educational design and format of this activity facilitated my learning. - Strongly Agree	The educational design and format of this activity facilitated my learning. - Agree	The educational design and format of this activity facilitated my learning. - Neutral	The educational design and format of this activity facilitated my learning. - Disagree	The educational design and format of this activity facilitated my learning. - Strongly Disagree

As a result of this activity, do you intend to make any changes to your professional practice/performance? *

Yes

No

If no, why not? *

If yes, please describe a change or changes you plan to implement based on what you have learned in this activity. *

What is your level of commitment to making the changes stated above? *

What potential barriers do you see to applying the new strategies/knowledge gained from this professional development activity?

Lack of evidence-based guidelines

Lack of applicability of guidelines to my current practice/patients

Lack of time

Organizational/Institutional

Insurance/Financial

Patient adherence/compliance

Treatment related adverse events

Non-applicable

Other...

What potential barriers do you see to applying the new strategies/knowledge gained from this professional development activity? Other...

How may we help you overcome your indicated barriers?

Was the content was fair, balanced, and free of commercial bias? *

Yes

No

Please describe who or what was unfair, unbalanced, or biased. *

Based on today's activity, please list additional learning needs that you might have.

Please include any additional comments/suggestions you may have.

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