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Teaching Type —Please choose an option—Grand RoundsNeurology Lecture SeriesHeadache Expertise SeriesJournal ClubClinical RoundsMedical School TeachingInvited LectureSCH Neurology Lecture SeriesSCH OtherSleep Conference SeriesOther
Speaker/Educator —Please choose an option—OtherLisa Akiyama, MDJohn Alexander, MDKevin Alschuler, PhDRaima Amin, MDCatherine Amlie-Lefond, MDAnna Balabanski, MBBS, FRACP, PhDMichele Basso, PhDOswaldo Lorenzo Betancor, MD, PhDThomas Bird, MDMargaret Bloor, PA-CHeidi Blume, MDDonald Bright, MDTheodore Bushnell, MDJessica Hauser Chatterjee, MD, PhDDarla Chapman, DNP, ARNPMichelle Chee, MDDenise Chen, M.D.Andrea Cheng-Hakimian, MDAnita Chopra, MDFlavia Consens, MDClaire Creutzfeldt, MDAmi Cuneo MDArielle Davis, MDMarie Y. Davis, MD, PhDJane Distad, MDKimiko Domoto-Reilly, MDBenjamin Edmonds, MDBehnaz Esmaeili, MDCorey Fehnel, MD, MPHJerome Graber, MD, MPHThomas Grabowski, MDJackson Gray, MDSteven Greenberg, MD, PhDJuliane Gust, MD, PhDShahin Hakimian, MDLorie Hamiwka, MDAlicia Henriquez, MDJai S. Hira, MDMark Holmes, MDShu-Ching (Gene) Hu, MD, PhDStephan Hu, MDAndrew Huffer, MDDaniel Hurwitz, MDSuman Jayadev, MDSung Ji, MD, PhDKelania Jimenez, MDRizwan Kalani, MDMichelle Kerr, MDMike Kim, MDRyan Kiser, MDSandeep Khot, MD, MPHMichelle Kim, PhDMarc Kirschner, MDPeter Kollros, MD, PhDEric Kraus, MDDaniel Krashin, MDSkyler Leonard, PhD, ABPPAnny Lin, MDVictor Lin, M.D.Jason Lockrow, MD, PhDThabele (Bay) Leslie-Mazwi, MDWill Longstreth, MDMaxwell Ma, MDAmanda March, DOJan Martin, MDJustin Miller, PhDDararat (Pam) Mingbunjerdsuk, MDPriya Monrad, MDLindsey Morgan, MDWolfgang Muhlhofer, MDNatalia Murinova, MDNina Natarajan, MDEdward (Rusty) Novotny, MDPatricia Oakes, MD,JDJohn Oakley, MD, PhDCatherine Otten, MDPayal Patel, MDPriyank Patel, MDKristina Patrick, PhDSeth Perlman, MDMichael Persenaire, MDCarlos Castillo Pinto, MDNicholas Poolos, MD, PhDMatthew Preston, MDStephanie C. Randle, MDChristopher Ransom, MD, PhDJonathan Rosand, MD, MScMichael Rosenbloom, MD, FAANShuvro Roy, MDAli Samii, MDRussell Saneto, Ph.D., D.O.Aimee Sato, MDMalveeka Sharma, MD, MPHTara Sharma, DONorman K. So, MBB ChirSomayyeh Sabet, MDYoung-Bin Song, PA-CKyle Steinman, MDGary A. Stobbe, MDKimmy Su, MD, PhDElizabeth Spokoiny, ARNP, DNPPhillip Swanson, MD, PhDHichem Tasfaout, PhDStephen Tapscott, MD, PhDLynne Taylor, MDBreana Talor, MDDavid Tirschwell, MD, MScKaren Torres, PsyDJeffrey Tsai, MD, PhDHannah Tully, MDHeadache Expertise TeamHope Ukatu, MDPrakash Vishnu, MD, FACPGloria von Geldern, MDSarah Wahlster, MDMark Wainwright, MD, PhDLeo Wang, MD, PhDYujie Wang, MDCaroline Walker, ARNPNathaniel Watson, MD, MScNatalie Weathered, MDJon Weinstein, MD, PhDMichael Weiss, MDMichael Williams, MDJosh Woolley, MD, PhDAnnette Wundes,MDVivian Yang, MDSusanne Yoon, MDCyrus Zabetian, MDJoe Zunt, MD, MPH
*Educator's Name:
Title/Topic Date of Teaching
Were the teaching objectives met? YesNo
Was the content free of commercial bias? 5 - excellent4 - very good3 - good2 - fair1 - poor
Was the content relevant to you? 5 - excellent4 - very good3 - good2 - fair1 - poor
How would you rank the clarity and organization of presentation? 5 - excellent4 - very good3 - good2 - fair1 - poor
How would you rank use of instructional resource (powerpoint, video, etc)? 5 - excellent4 - very good3 - good2 - fair1 - poorN/A
Was there enough time to address audience questions? 5 - excellent4 - very good3 - good2 - fair1 - poor
How would you rank overall teaching effectiveness? 5 - excellent4 - very good3 - good2 - fair1 - poor
Will you make changes in your practice based on the content? YesNoN/A
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