OB GYN Interhospital Rounds

Medicine Rounds Attendance & Evaluation
In order to receive CME credit for attending you must submit your name and email address. Speakers greatly appreciate feedback of their session, please take a minute to complete the evaluation.
Name *

First Name Last Name
Email *
example@example.com
Date of Presentation

Month Day Year
If you are submitting this form after watching an archived presentation, please add the date of the original presentation.
Profession

Medicine Department Physician Resident Family Medicine Physician NP, RN, PA
Please rate each item using the ratings scale below:
1. strongly disagree/poor
2. disagree/poor
3. neutral/average
4. agree/good
5. strongly agree/outstanding

The Presentation & Speaker

Provided objective or outline at the beginning of the presentation

Demonstrated thorough knowledge of the topic

Presentation was clear and well organized

Presentation was credible and non-biased

Presented at appropriate level and provided adequate detail

Used an effective style/method of presentation

Medicine Rounds Attendance & Evaluation