Your Name (optional)
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Your UW Affiliation FacultyFellowResidentTraineeARNP/PA-CStudentOther
Conference Name
Speaker
Title
Date
Course Objectives I received the course objectives via email or in person
Were the objectives met? YesNo
Was the content free of commercial bias? excellentvery goodgoodfairpoor
Was the content relevant to you? excellentvery goodgoodfairpoor
How would you rank the clarity and organization of presentation? excellentvery goodgoodfairpoor
How would you rank use of instructional resource (powerpoint, video, etc)? excellentvery goodgoodfairpoor
Was there enough time to address audience questions? excellentvery goodgoodfairpoor
How would you rank overall teaching effectiveness? excellentvery goodgoodfairpoor
Will you make changes in your practice based on the content? YesNo
List one thing you intend to change in your practice as a consequence of the content
How do you think this change will affect patient outcomes?
Please provide any additional comments that you may have
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