ACGME Core Competencies Lecture Series Evaluation
FACULTY ONLY (If you are a resident or fellow please click HERE to go to the resident/fellow evaluation)
Name: Faculty at PSHMC Department/Division: Faculty - other
Lecture Series Title: Please Choose Lecture Series Title January 3, 2008 February 7, 2008 March 6, 2008 April 3, 2008 June 5, 2008 August 7, 2008 September 4, 2008 October 2, 2008 November 6, 2008 December 4, 2008 August 2, 2007 - Thomas Dykes, MD September 6, 2007 - Bruce Armon, Esq October 4, 2007 - Drs. Green & Levi November 1, 2007 - Drs. Julian & Caputo Email:
(Email contact information is requested to ensure proper CME credit.)
Evaluation of this activity is integral to the CME process. CME certificate requests cannot be processed without this evaluation form.
Which of the following best describes the impact of this activity on your performance? (choose one)
This activity will not change my behavior because my current practice is consistent with what was taught
This activity will not change my behavior because I do not agree with the information presented
I need more information before I can change my practice behavior
I will immediately implement the information in my practice
What action(s) will you take as a result of participating in this activity? (List all that apply)
a. None
b. Consult the literature
c. Participate in another educational activity
d. Discuss new information with other professionals
e. Discuss with industry representative(s)
1. List two or three things you learned from this lecture which will improve your current practice?
Comments:
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