LEARNER RECORDS: EVALUATION You must complete the program evaluation and applicable activity evaluation(s) in order to earn AMA PRA Category 1 Credits TM , MOC points, or participation in MIPS. For each of the objectives determine if the activity increased your: A Competence B Performance C Outcome D No Change
COURSE 1 - IMPROVING ACCESS TO CARE FOR LGBTQ PATIENTS:
A B C D
1. Implement strategies to improve healthcare access of the LGBTQ population . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Apply strategies to address health risks in the LGBTQ community . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Please identify a specific change, if any, you will make in your practice related to caring for LGBTQ patients.
4. What do you see as a barrier to making these changes?
COURSE 2 - ANTIBIOTIC STEWARDSHIP:
A B C D
5. Utilize interventions to improve the use of antibiotics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. Implement methods to assess compliance with antibiotic stewardship programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Please identify a specific change, if any, you will make in your practice related to antibiotic stewardship.
8. What do you see as a barrier to making these changes?
COURSE 3 - ALTERNATIVES TO OPIOID FOR PAIN MANAGEMENT:
A B C D
9. Utilize a function-based paradigm for creating treatment plans for chronic pain conditions and follow guideline- recommended steps for initiating treatments for acute and chronic pain conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Appropriately prescribe the full range of non-opioid analgesic options for managing acute and chronic non-cancer pain. . . 11. Please identify a specific change, if any, you will make in your practice related to alternatives to opioids for pain management.
12. What do you see as a barrier to making these changes?
13. Assess non-pharmacological, non-opioid, and opioid analgesic therapies in comprehensive pain plans for patients with acute or chronic pain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14. Identify and manage patients with opioid use disorder and recognize when to incorporate emergency opioid antagonists into prescribing practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15. Please identify a specific change, if any, you will make in your practice related to safe prescribing of opioid analgesics. A B C D COURSE 4 - EFFECTIVE MANAGEMENT OF ACUTE AND CHRONIC PAIN WITH OPIOID ANALGESICS:
16. What do you see as a barrier to making these changes?
OVERALL PROGRAM:
Yes No If no, please explain:
17. The program was balanced, objective & scientifically valid . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18. Do you feel the program was scientifically sound & free of commercial bias or influence? 19. How can this program be improved?
20. Based on your educational needs, please provide us with suggestions for future program topics & formats.
21. For which activities would you like to use your participation as a clinical practice improvement activity (CPIA) for MIPS? Course 1 Course 2 Course 3 None
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