Emory Outreach Program 2019 Compliance Meeting Speaker Evaluation
Presentation Topic: Concussion Topics of Interest
Date
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Month
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Day
Year
Date
Your Name
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First Name
Last Name
Professional Credential(s)
Please select the Speaker's Name:
Charles Kistler IV, LAT, ATC
This presentation has increased, improved, or positively impacted my: (select all that apply)
Knowledge
Competence
Performance
Patient Outcomes
Other
Do you feel the series is scientifically sound and free of commercial bias?
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Yes
No
If No, please explain
Was the speakers/presenters knowledgeable, relevant, and effective regarding the content of their presentation?
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Yes
No
Knowledgeable
Relevant
Effective
Do you feel that the below learning objectives were met?
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Yes
No
Partially
Identifying and management of concussion based on the NATA Position Statement
Review of guidelines for at home care
Progression and return to play protocol based on NATA Best Practices
Please indicate which of the following ACGME core competencies have been addressed by this presentation (select all that apply).
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Patient Care
System Based Practice
Practice Based Learning and Improvement
Medical Knowledge
Interpersonal and Communication Skills
Professionalism
Based on the presentation, how will you change your practice (select all that apply)
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Create/revise protocols, policies and/or procedures
Change the management and/or treatment of my patients
This presentation validated/reinforced my current practice
I will not make changes to my practice
Other
You selected Create/revise protocols, policies and/or procedures - please explain
You selected Change the management and/or treatment of my patients - please explain
Please rate the barriers in implementing these changes.
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None/minimal
Sizable
Insurmountable
Reimbursement/insurance issues
Cost-effectiveness
Time management
Patient compliance issues
Administrative support
Lack of experience
Are there other barriers to in implementing these changes?
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Yes
No
Other
How will you address the barriers to implement changes in knowledge and/or behavior? Type NA if there are no barriers.
How can the format of the presentation be improved to better convey the content of the presentation?
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Format is appropriate, no changes needed
Include more case-based presentations
Increase interactivity with attendees
Add a hands-on instructional component
Allow more time for Q & A
Other
Other Comments:
I attest that I attended or viewed the presentation in its entirety either in-person or by video feed and/or recording. My signature indicates I am in compliance with gaining professional development and/or continuing education units.
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