CME Evaluation: 2024 Annual Conference
Communication and Compassionate Care in Colorado
Name:
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First Name
Last Name
Credentials
Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
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example@example.com
Birthdate (if claiming MOC points):
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Month
-
Day
Year
Date
ABIM Number (if claiming MOC points):
I am completing this evaluation as a/an:
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Certified Medical Director (CMD)
Attending Physician
Medical Director (non CMD)
Practitioner (APRN, NP, PA)
Academic Faculty
Resident/Fellow
Nurse (DON, RN, LPN)
Other, Please Explain
How was registration for this CME activity paid for?
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I paid for it but was/will be reimbursed by my organization.
I paid for it.
My organization paid for it directly.
Other, Please Explain
Please rate your satisfaction of the following:
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Rows
Completely Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Completely Dissatisfied
Overall experience
Selection and depth of program content
Planning and organization of the program
Usefulness of program materials
Networking opportunities
Program Learning Objectives – The following program learning objectives were adequately met:
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Rows
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Discuss the professional challenges facing medical directors, attending physicians, advanced practice nurses, consultant
pharmacists, physician assistants, directors of nursing, and
administrators practicing in the
continuum.
Describe the advances in theoretical and clinical knowledge impacting individuals affected by medical issues in the PALTC
continuum.
Describe examples of evidence-based practice and multidisciplinary approaches to enhance outcomes in various
health care settings.
List examples of evidence-based practice as it pertains to PALTC medicine.
Indicate what best reflects your opinion of the session, CHCA Trends in the LTC Profession, presented by Jenny Albertson, NHA, QCP.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, Complicated Pain Management: Addiction, Tolerance or Both, presented by Monica Ott, MD, CMD.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, Diabetes Management in PALTC: A Brief Update, presented by Naushira Pandya, MD, CMD.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, Keynote Address: Creating Cultural Transformation Through the Art of Belonging, presented by Diane Sanders-Cepeda, DO, CMD.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, Managing Behaviors in PALTC – How To Do It Better, presented by Kimberly Bryant, MHA, LNHA, CMDCP.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, Post Pandemic CamDucky Derby, presented by Greg Gahm, MD, MS, FACP.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, CDPHE Update for CMDA, presented by Jo Tansey.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, Strategies to Prevent the Spread of Antimicrobial Resistance in Colorado, presented by Christopher A. Czaja, MD, DrPH.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, How to Have the Conversation About Advance Care Planning, presented by Hillary Lum, MD, PhD.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, Telligen Update: Together We Can Accomplish So Much, presented by Christine LaRocca, MD.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, Tai Chi in Post-Acute and Long-Term Care: Why Do It and How Do I Make It Work?, presented by Elizabeth Eckstrom, MD, MPH, MACP.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, Speech Language Pathologists’ Role on the Care Team, presented by Samantha Conley, MS, CCC-SLP.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, How to Sell Deprescribing of Antithrombotics and CNS Medications, presented by Monica Ott, MD, CMD.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, New Dementia Medications, presented by Cari Levy, MD, PhD, CMD.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
Indicate what best reflects your opinion of the session, Best Pearls of the Day, presented by Leslie Eber, MD, CMD, and Allison Villegas, PA-C.
Rows
True
False
The speaker presented content in an effective manner.
The speaker was knowledgeable and had relevant expertise.
Content was appropriate for your experience level.
Presentation style facilitated my learning.
Content pertained to my post-acute and long-term care practice.
Content provided practical approaches to implementation.
If you disagree with any of the above statements, please tell us why.
Was there evidence of commerical bias?
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Please Select
Yes
No
Commercial bias is defined as information presented in a manner that attempts to sway participants’ opinions in favor of a particular commercial product for the express purposes of furthering a commercial entity’s business.
If yes, please explain evidence of commercial bias:
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Was there discussion of off-label substances or products or presentation of limited data without proper disclosure?
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Please Select
Yes
No
If yes, please explain:
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Based on your participation in this activity, do you plan to implement any new strategies in your practice?
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Please Select
Yes
No
Please identify at least 1 strategy that you plan to implement in your practice based on the knowledge/competency gained from this activity.
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(e.g. implement a QAPI program, identify knowledge gaps to educate the healthcare team, facilitate audits to ensure meds and supplements have true indications for use).
Would you be willing to provide feedback in a future check-in to assess what changed in your practice as a result of this activity?
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Please Select
Yes
No
What strategies have you implemented to overcome the issue(s)/problem(s)?
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What barriers, if any, do you anticipate in your efforts to implement this knowledge and/or skills you have gained in this activity?
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Resources (staff, money, time)
Facility Leadership/Corporate/Management
Regulatory
Government
Family
Residents
None
Other, Please Explain
Please list any topics you would like to see covered in future courses.
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Please provide any additional comments regarding your participation in this activity.
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How many total hours did you earn?
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If you attended all sessions please enter 6.0. If not, consult your tracking sheet.
How many CMD management hours did you earn?
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If you attended all sessions please enter 2.5. If not, consult your tracking sheet.
How many CMD clinical hours did you earn?
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If you attended all sessions please enter 3.5. If not, consult your tracking sheet.
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