PSA Annual Scientific Meeting CME Evaluation Form
PSA is accredited by the Pennsylvania Osteopathic Medical Association (POMA) to provide continuing medical education for physicians. POMA designates this live program for Category 1-A AOA CME credits. Physicians should claim only the credit commensurate with the extent of their participation in the educational activity. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the AOA Council on Continuing Medical Education.
Name
First Name
Last Name
Email
example@example.com
CME Topic: The Evolving Illicit Use of Xylazine, and the Growing Impact on Care of the Hospitalized Patient
This topic is relevant to my practice.
Strongly Agree
Agree
Somewhat Disagree
Strongly Disagree
The speaker demonstrated experiential knowledge of the topic.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
The content provided a fair and balanced Coverage of the topic and was free of commercial bias.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
In which of the following practice gaps (the difference between what is currently being done in practice to ideal practice) do you anticipate addressing with the materials presented in this lecture?
Competence (Have the ability to incorporate the tools, skills and/or strategies learned into practice)
Performance (Implementing the tools, skills and/or strategies gained into practice)
What aspects of this lecture will you implement/change within your practice upon your return?
CME Topic: Innovation in HealthCare
This topic is relevant to my practice.
Strongly Agree
Agree
Somewhat Disagree
Strongly Disagree
The speaker demonstrated experiential knowledge of the topic.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
The content provided a fair and balanced Coverage of the topic and was free of commercial bias.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
In which of the following practice gaps (the difference between what is currently being done in practice to ideal practice) do you anticipate addressing with the materials presented in this lecture?
Competence (Have the ability to incorporate the tools, skills and/or strategies learned into practice)
Performance (Implementing the tools, skills and/or strategies gained into practice)
What aspects of this lecture will you implement/change within your practice upon your return?
CME Topic: Cardiac Anesthesia for the Non-Cardiac Anesthesiologist
This topic is relevant to my practice.
Strongly Agree
Agree
Somewhat Disagree
Strongly Disagree
The speaker demonstrated experiential knowledge of the topic.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
The content provided a fair and balanced Coverage of the topic and was free of commercial bias.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
In which of the following practice gaps (the difference between what is currently being done in practice to ideal practice) do you anticipate addressing with the materials presented in this lecture?
Competence (Have the ability to incorporate the tools, skills and/or strategies learned into practice)
Performance (Implementing the tools, skills and/or strategies gained into practice)
What aspects of this lecture will you implement/change within your practice upon your return?
CME Topic: Patient Safety
This topic is relevant to my practice.
Strongly Agree
Agree
Somewhat Disagree
Strongly Disagree
The speaker demonstrated experiential knowledge of the topic.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
The content provided a fair and balanced Coverage of the topic and was free of commercial bias.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
In which of the following practice gaps (the difference between what is currently being done in practice to ideal practice) do you anticipate addressing with the materials presented in this lecture?
Competence (Have the ability to incorporate the tools, skills and/or strategies learned into practice)
Performance (Implementing the tools, skills and/or strategies gained into practice)
What aspects of this lecture will you implement/change within your practice upon your return?
CME Topic: Cannabis, Opioids and Pain Management
This topic is relevant to my practice.
Strongly Agree
Agree
Somewhat Disagree
Strongly Disagree
The speaker demonstrated experiential knowledge of the topic.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
The content provided a fair and balanced Coverage of the topic and was free of commercial bias.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
In which of the following practice gaps (the difference between what is currently being done in practice to ideal practice) do you anticipate addressing with the materials presented in this lecture?
Competence (Have the ability to incorporate the tools, skills and/or strategies learned into practice)
Performance (Implementing the tools, skills and/or strategies gained into practice)
What aspects of this lecture will you implement/change within your practice upon your return?
CME Topic: Panel; ASA Guidelines
This topic is relevant to my practice.
Strongly Agree
Agree
Somewhat Disagree
Strongly Disagree
The speaker demonstrated experiential knowledge of the topic.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
The content provided a fair and balanced Coverage of the topic and was free of commercial bias.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
In which of the following practice gaps (the difference between what is currently being done in practice to ideal practice) do you anticipate addressing with the materials presented in this lecture?
Competence (Have the ability to incorporate the tools, skills and/or strategies learned into practice)
Performance (Implementing the tools, skills and/or strategies gained into practice)
What aspects of this lecture will you implement/change within your practice upon your return?
CME Topic: Difficult Airway Intubation
This topic is relevant to my practice.
Strongly Agree
Agree
Somewhat Disagree
Strongly Disagree
The speaker demonstrated experiential knowledge of the topic.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
The content provided a fair and balanced Coverage of the topic and was free of commercial bias.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
In which of the following practice gaps (the difference between what is currently being done in practice to ideal practice) do you anticipate addressing with the materials presented in this lecture?
Competence (Have the ability to incorporate the tools, skills and/or strategies learned into practice)
Performance (Implementing the tools, skills and/or strategies gained into practice)
What aspects of this lecture will you implement/change within your practice upon your return?
CME Topic: Panel; Perioperative Communication
This topic is relevant to my practice.
Strongly Agree
Agree
Somewhat Disagree
Strongly Disagree
The speaker demonstrated experiential knowledge of the topic.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
The content provided a fair and balanced Coverage of the topic and was free of commercial bias.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
In which of the following practice gaps (the difference between what is currently being done in practice to ideal practice) do you anticipate addressing with the materials presented in this lecture?
Competence (Have the ability to incorporate the tools, skills and/or strategies learned into practice)
Performance (Implementing the tools, skills and/or strategies gained into practice)
What aspects of this lecture will you implement/change within your practice upon your return?
CME Topic: Hands-on Workshop (Sunday)
This topic is relevant to my practice.
Strongly Agree
Agree
Somewhat Disagree
Strongly Disagree
The speaker demonstrated experiential knowledge of the topic.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
The content provided a fair and balanced Coverage of the topic and was free of commercial bias.
Strongly Agree
Agree
Somewhat Disagree
Strongly DIsagree
In which of the following practice gaps (the difference between what is currently being done in practice to ideal practice) do you anticipate addressing with the materials presented in this lecture?
Competence (Have the ability to incorporate the tools, skills and/or strategies learned into practice)
Performance (Implementing the tools, skills and/or strategies gained into practice)
What aspects of this lecture will you implement/change within your practice upon your return?
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