University of Florida Continuing Medical Education
EVALUATION SUMMARYProgram Title: Date: ** Enter the number of responses for each answer and compile all attendee comments under free response questions. **Expected Clinical OutcomesWill participation in this program result in improving your clinical practice? FORMTEXT ????? Yes FORMTEXT ????? NoIf yes, please specify changes you intend to make in your practice.Will participation in this program result in improving patient outcomes? FORMTEXT ????? Yes FORMTEXT ????? NoIf yes, please specify how.Please rate your confidence in implementing these changes. FORMTEXT ????? High confidence FORMTEXT ????? Moderate confidence FORMTEXT ????? Low/No confidence FORMTEXT ????? N/APlease identify any barriers you perceive in implementing these changes (select all that apply) FORMTEXT ????? Cost FORMTEXT ????? Insurance/reimbursement issues FORMTEXT ????? Lack of time to assess/counsel patients FORMTEXT ????? Patient compliance issues FORMTEXT ????? Lack of administrative support/resources FORMTEXT ????? Lack of consensus of professional guidelinesOther:How will you address these barriers to implement changes in knowledge and behavior? Basic Program Evaluation54321The material was presented at an appropriate level. FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????I have gained knowledge that will improve patient care. FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????The program met my expectations in accomplishing the educational objectives. FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????The program content was objective, balanced, and free from commercial bias or influence. FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Your overall rating of the quality of the education offered at this program. FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Additional Comments/Explanations:How can this program be improved? (Please list both strengths and weaknesses.)Based on your educational needs, please provide us with suggestions for future program topics and formats: ................
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