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ACGME Core Competencies Lecture Series Evaluation  

RESIDENT/FELLOW ONLY (If you are a faculty member please click HERE to go to the faculty evaluation)

Name:                      Resident/Fellow at PSHMC
Department/Division:          Resident/Fellow - other

Lecture Series Title:            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.
1 2 3 4 5
Very High High Moderate Low Very Low
OVERALL EVALUATION 1 2 3 4 5
1. Appropriateness, clarity, and thoroughness of content.
2. Speaker's knowledge of subject.
3. Extent to which educational objectives were achieved. (click to view flyer containing lecture specific objectives)
4. Extent to which you are satisfied with the overall quality of the educational activity.
5. To what extent did the activity present scientifically rigorous, unbiased, and balanced information.
6. To what extent were the speakers' presentations free of commercial bias.
7. To what extent did this educational activity change your knowledge/attitudes.
8. To what extent did this educational activity change your skills.
9. To what extent will you make a change in your practice as a result of your participation in this educational activity.
10.

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
11.

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)

 
ON-LINE POST TEST          

1.  List two or three things you learned from this lecture which will improve your current practice?

 

Comments:

 

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This page was last updated on September 25, 2008
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