CME Evaluation: MMDA's Hot Topics
Buprenorphine for OUD and Chronic Pain
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
Phone Number:
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Please enter a valid phone number.
Format: (000) 000-0000.
Practice Name:
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Email:
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example@example.com
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
Program Learning Objectives – The following program learning objectives were adequately met:
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Rows
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Describe pharmacology of buprenorphine.
Describe change in regulations for prescribing buprenorphine in the U.S.
Prescribe buprenorphine for both OUD and chronic pain.
Indicate what best reflects your opinion of sessions and faculty.
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Rows
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
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 issue(s)/problem(s) in your practice do you want MMDA’s education to help you resolve?
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(e.g. how to implement QAPI meetings).
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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Submit
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