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 - ALTERNATIVES TO OPIOIDS FOR PAIN MANAGEMENT:
A B C D
1. 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Appropriately prescribe the full range of non-opioid analgesic options for managing acute and chronic non-cancer pain . . . . . . 3. Please identify a specific change, if any, you will make in your practice related to alternatives to opioids for pain management.
4. What do you see as a barrier to making these changes?
COURSE 2 - BEST PRACTICES FOR TREATING PAIN WITH OPIOID ANALGESICS:
A B C D
5. Identify and employ a full range of therapeutic options when developing a pain treatment plan.. . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. Screen patients for presence or risk of OUD, assess and manage patients who demonstrate signs of OUD,or refer if necessary. . . 7. Please identify a specific change, if any, you will make in your practice related to alternatives to safe prescribing of opioid analgesics.
8. What do you see as a barrier to making these changes?
COURSE 3 - CHILD ABUSE RECOGNITION AND REPORTING IN PENNSYLVANIA:
A B C D
9. Adhere to the requirements and reporting procedures for mandatory reporting of child abuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. Identify, assess, and document signs and symptoms of suspected child abuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Please identify a specific change, if any, you will make in your practice related to child abuse recognition and reporting.
12. What do you see as a barrier to making these changes?
OVERALL PROGRAM:
Yes No If no, please explain:
13. The program was balanced, objective & scientifically valid . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14. Do you feel the program was scientifically sound & free of commercial bias or influence? .
15. How can this program be improved?
16. Based on your educational needs, please provide us with suggestions for future program topics & formats.
17. 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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