Survey - Post-Event Evaluation (Tri-State Consecutive Case Conference)

Post-Event Evaluation (Tri-State Consecutive Case Conference)

INSTRUCTIONS: Please fill out ALL FIELDS on this survey. A certificate will be sent to you via email. Credit forms will not be accepted after October 1, 2018.

ALL FIELDS ARE REQUIRED IN ORDER TO RECEIVE A CERTIFICATE.

Question - Required - First Name:

Question - Required - Last Name:

Question - Required - License Number:

Question - Required - Today's Date:

Month

Day

Year

Question - Required - Email Address:

Credentials:

(Select one of the available choices or enter a different value.)
Question - Required -

Credit Type:

(Select one of the available choices or enter a different value.)
Question - Required -

Please indicate the number of hours that you attended the conference each day. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

September 14, 2018
Maximum Hours of Credit Available: 6 CMEs

Question - Required - Hours Attended (September 14):

September 15, 2018
Maximum Hours of Credit Available: 5 CMEs

Question - Required - Hours Attended (September 15):

September 16, 2018
Maximum Hours of Credit Available: 4 CMEs

Question - Required - Hours Attended (September 16):

Your comments are very important to us! Please complete this evaluation so that we may provide more quality programs in the future.

For purposes of a NAMEC bias survey, commercial bias is defined as information presented in a certified educational activity that attempts to sway participant opinion in favor of a commercial product/device, furhtering a commercial entity's business initiatives.

Using this definition, please answer the folloiwng:

Question - Required - The therapeutic recommendations presented in this activity did not encourage inappropriate or excessive use of products/devices.

Question - Required - The information presented in this activity did not serve to advance a proprietary interest of any commercial entity.

Expected Clinical Outcomes

Question - Required - Will information gained from this program result in enhancing optimal patient care?

Question - Not Required - If yes, please list change(s) you intend to make in your practice as a result of this program.

(Maximum response 255 chars, approx. 5 rows of text)

Question - Required - Please rate your confidence in implementing these changes:

Question - Required - Please identify any barriers you perceive in implementing these changes. (select all that apply)

	Cost
	Lack of time to assess/counsel patients
	Lack of administrative resources
	Insurance/reimbursement issues
	Patient compliance issues
	Lack of consensus of professional guidelines
	Not Applicable

Question - Not Required - How will you address these barriers to implement changes in knowledge and behavior?

(Maximum response 255 chars, approx. 5 rows of text)

Basic Program Evaluation

Question - Required - The material was presented at an appropriate level:

Question - Required - I have gained knowledge that will improve patient care:

Question - Required - The program met my expectations in accomplishing the stated educational guidelines:

Question - Required - Your overall rating of the quality of the education offered at this program:

Question - Not Required - Additional Comments/ Explanations:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Required - How can this program be improved? (Please list both strengths and weaknesses.)

(Maximum response 255 chars, approx. 5 rows of text)

Question - Required - Based on your educational needs, please provide us with suggestions for future program topics and formats:

(Maximum response 255 chars, approx. 5 rows of text)

Daily Evaluation - Friday

Please grade each speaker using the following scale:

1 - Strongly Agree
2 - Agree
3 - Neutral
4 - Disagree
5 - Strongly Diaagree
Not Applicable

Daily Problem Cases - Radiological
Eugene A. Berkowitz, MD, PhD
Emory University School of Medicine

Question - Required - Dr. Berkowitz made a clear and well-organized presentation:

Question - Required - Dr. Berkowitz's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Berkowitz's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Berkowitz's visual aids were effective:

Question - Required - Dr. Berkowitz's presentation was made without commercial bias:

Question - Not Required - Dr. Berkowitz clarified content in response to questions:

Five Cases of Pleural Disease Gone Bad
Chadrick Denlinger, MD
Medical University of South Carolina

Question - Required - Dr. Denlinger made a clear and well-organized presentation:

Question - Required - Dr. Denlinger's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Denlinger's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Denlinger's visual aids were effective:

Question - Required - Dr. Denlinger's presentation was made without commercial bias:

Question - Required - Dr. Denlinger clarified content in response to questions:

Five Cases of Pleural Disease Gone Bad
Rabih Bechara, MD, FCCP
Adjunct Augusta University

Question - Required - Dr. Bechara made a clear and well-organized presentation:

Question - Required - Dr. Bechara's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Bechara's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Bechara's visual aids were effective:

Question - Required - Dr. Bechara's presentation was made without commercial bias:

Question - Required - Dr. Bechara clarified content in response to questions:

A Lung Cancer Case Series
Gregory Holt, MD
University of Miami

Question - Required - Dr. Holt made a clear and well-organized presentation:

Question - Required - Dr. Holt's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Holt's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Holt's visual aids were effective:

Question - Required - Dr. Holt's presentation was made without commercial bias:

Question - Required - Dr. Holt clarified content in response to questions:

A Lung Cancer Case Series
John Wrangle, MD
Medical University of South Carolina

Question - Required - Dr. Wrangle made a clear and well-organized presentation:

Question - Required - Dr. Wrangle's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Wrangle's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Wrangle's visual aids were effective:

Question - Required - Dr. Wrangles presentation was made without commercial bias:

Question - Required - Dr. Wrangle clarified content in response to questions:

KEYNOTE: Pulmonary Thromboendarterectomy/CTEPH
Victor Pretorius, MBchB,FRCSC
University of California, San Diego

Question - Required - Dr. Pretorius made a clear and well-organized presentation:

Question - Required - Dr. Pretorius's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Pretorius's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Pretorius's visual aids were effective:

Question - Required - Dr. Pretorius's presentation was made without commercial bias:

Question - Required - Dr. Pretorius clarified content in response to questions:

Board Review - RAD/PATH
Eugene Berkowitz, MD, PhD
Emory University School of Medicine

Question - Required - Dr. Berkowitz made a clear and well-organized presentation:

Question - Required - Dr. Berkowitz's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Berkowitz's syllabus material and handouts were appropriate and helpful:

Question - Not Required - Dr. Berkowitz's presentation was made without commercial bias:

Question - Required - Dr. Berkowitz clarified content in response to questions:

Question - Required - Dr. Berkowitz's visual aids were effective:

Board Review - RAD/PATH
Russell Harley, MD
Medical University of South Carolina

Question - Required - Dr. Harley made a clear and well-organized presentation:

Question - Required - Dr. Harley's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Harley's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Harley's visual aids were effective:

Question - Required - Dr. Harley's presentation was made without commercial bias:

Question - Required - Dr. Harley clarified content in response to questions:

Board Review - RAD/PATH
Bruce Krieger, MD
University of Florida - Jacksonville

Question - Required - Dr. Krieger made a clear and well-organized presentation:

Question - Required - Dr. Krieger's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Krieger's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Krieger's visual aids were effective:

Question - Required - Dr. Krieger's presentation was made without commercial bias:

Question - Required - Dr. Krieger clarified content in response to questions:

Daily Evaluation - Saturday

Daily Problem Cases - Radiological
Eugene A. Berkowitz, MD, PhD
Emory University School of Medicine

Question - Required - Dr. Berkowitz made a clear and well-organized presentation:

Question - Required - Dr. Berkowitz's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Berkowitz's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Berkowitz's visual aids were effective:

Question - Required - Dr. Berkowitz's presentation was made without commercial bias:

Question - Required - Dr. Berkowitz clarified content in response to questions:

Lung Transplant Cases
David Neujahr, MD
Emory University School of Medicine

Question - Required - Dr. Neujahr made a clear and well-organized presentation:

Question - Required - Dr. Neujahr's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Neujahr's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Neujahr's visual aids were effective:

Question - Required - Dr. Neujahr's presentation was made without commercial bias:

Question - Required - Dr. Neujahr clarified content in response to questions:

Lung Transplant Cases
Andres Pelaez, MD
University of Florida

Question - Not Required - Dr. Pelaez made a clear and well-organized presentation:

Question - Required - Dr. Pelaez's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Pelaez's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Pelaez's visual aids were effective:

Question - Required - Dr. Pelaez's presentation was made without commercial bias:

Question - Required - Dr. Pelaez clarified content in response to questions:

Fellows Case Presentations
Eloise Harman, MD, Professor Emeritus
University of Florida, Gainesville VA Medical Center

Question - Required - Speaker made a clear and well-organized presentation:

Question - Required - Dr. Harman's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Harman's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Harman's visual aids were effective:

Question - Required - Dr. Harman's presentation was made without commercial bias:

Question - Required - Dr. Harman clarified content in response to questions:

Daily Evaluation - Sunday

Daily Problem Cases - Radiological
Eugene A. Berkowitz, MD, PhD
Emory University School of Medicine

Question - Required - Dr. Berkowitz made a clear and well-organized presentation:

Question - Required - Dr. Berkowitz's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Berkowitz's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Berkowitz's visual aids were effective:

Question - Required - Dr. Berkowitz's presentation was made without commercial bias:

Question - Required - Dr. Berkowitz clarified content in response to questions:

Unusual Causes of Pulmonary Emphysema and Bulle
Brandi Newsome, MD
University of South Carolina School of Medicine

Question - Required - Dr. Newsome made a clear and well-organized presentation:

Question - Required - Dr. Newsome's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Newsome's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Newsome's visual aids were effective:

Question - Required - Dr. Newsome's presentation was made without commercial bias:

Question - Required - Dr. Newsome clarified content in response to questions:

Unusual Causes of Pulmonary Emphysema and Bulle
Ali Ataya, MD
University of Florida

Question - Required - Dr. Ataya made a clear and well-organized presentation:

Question - Required - Dr. Ataya's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Ataya's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Ataya's visual aids were effective:

Question - Required - Dr. Ataya's presentation was made without commercial bias:

Question - Required - Dr. Ataya clarified content in response to questions:

Should Tertiary Care Centers Have 24 Hour ICU Coverage by Board Certified Intensivists
PRO: Colin Swenson, MD
Emory University School of Medicine

Question - Required - Speaker made a clear and well-organized presentation:

Question - Required - Dr. Swenson's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Swenson's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Swenson's visual aids were effective:

Question - Required - Dr. Swenson's presentation was made without commercial bias:

Question - Required - Dr. Swenson clarified content in response to questions:

Should Tertiary Care Centers Have 24 Hour ICU Coverage by Board Certified Intensivists
CON: Daniel Kett, MD
University of Miami

Question - Required - Dr. Kett made a clear and well-organized presentation:

Question - Required - Dr. Kett's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Kett's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Kett's visual aids were effective:

Question - Required - Dr. Kett's presentation was made without commercial bias:

Question - Required - Dr. Kett clarified content in response to questions:

Pulmonary (4): Biologics in Asthma
Abhinav Gupta, MD
University of South Carolina School of Medicine

Question - Required - Dr. Gupta made a clear and well-organized presentation:

Question - Required - Dr. Gupta's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Gupta's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Gupta's visual aids were effective:

Question - Required - Dr. Gupta's presentation was made without commercial bias:

Question - Required - Dr. Gupta clarified content in response to questions:

Surgical (4): Robotic Thoracic Surgery
Dao Nguyen, MD
University of Miami

Question - Required - Dr. Nguyen made a clear and well-organized presentation:

Question - Required - Dr. Nguyen's presentation provided me with information and skills to make a difference in my work:

Question - Required - Dr. Nguyen's syllabus material and handouts were appropriate and helpful:

Question - Required - Dr. Nguyen's visual aids were effective:

Question - Required - Dr. Nguyen's presentation was made without commercial bias:

Question - Not Required - Dr. Nguyen clarified content in response to questions:

We welcome your feedback, comments, and suggestions. Please provide a brief feedback to answer the following:

Question - Required - What did you learn from this conference that will cause you to make a change in your practice?

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Additional comments:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Required - Topic Suggestions:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Required - Would you like us to go digital, and send your materials in PDF form for next year's conference?

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Post-Event Evaluation (Tri-State Consecutive Case Conference)

Expected Clinical Outcomes

Basic Program Evaluation

Daily Evaluation - Friday

Daily Evaluation - Saturday

Daily Evaluation - Sunday

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