New Jersey Physician Ebook Continuing Education

Evaluation (Completion of this form is mandatory)

MDNJ1327

Last Name________________________________________ First Name_________________________________ MI____________ State________________________ License #_______________________________________ Expiration Date_________________ To receive continuing education credit, completion of this Evaluation is mandatory. Please answer all of the following questions and provide your signature at the bottom of this page. Please read the following questions and choose the most appropriate answer for each course completed. # Question

MDNJ02EL Assessment and Management of Pain at the End of Life 2 CE Hours

MDNJ01ST Opioid Stewardship in Multimorbidity: Balancing Pain, Function, and Polypharmacy 1 CE Hour

MDNJ03PB Professional Boundaries and Sexual Misconduct in Medicine 3 CE Hours

MDNJ03AI AI in Health Care 3 CE Hours

MDNJ04MH Maternal Health

Disparities 4 CE Hours

Was the course content new or review?

1 2

 New  Review  New  Review

 New  Review  New  Review

 New  Review

How many self-assessment questions did you answer correctly? How much time did you spend on this activity, including the questions? Would you recommend this course to your peers? Did the course content support the stated course objective? Did the course content demonstrate the author’s knowledge of the subject? Was the course content free of bias? Before completing the course, did you iden- tify the necessity for education on the topic to improve your professional practice? Have you achieved all of the stated learning objectives of this course?

3

_______ Hours

_______ Hours

_______ Hours

_______ Hours

_______ Hours

4

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

5

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

6

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

7 8

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

9

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

10 Has what you think or feel about this topic changed? 11 Were self-assessment questions with evaluation an effective teaching strategy? 12 Did evidence-based practice recommen- dations assist in determining the validity or relevance of the information? 13 Are you more confident in your ability to provide patient care after completing this course? 14 Do you plan to make changes in your prac- tice as a result of this course content?

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 N/A

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

 Yes  No

Additional Comments / Criticisms / Concerns _ _______________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________ I have read the course(s) and completed the Evaluation(s) in full. Signature _ ____________________________________________________________________________________________________________ Signature required to receive continuing education credit

62

EliteLearning.com/Physician

Powered by