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 - BEST PRACTICES FOR TREATING PAIN WITH OPIOID ANALGESICS, 2ND EDITION
A B C D
1. Identify and employ a full range of therapeutic options when developing a pain treatment plan.. . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Screen patients for presence or risk of OUD, assess and manage patients who demonstrate signs of OUD, or refer if necessary. . 3. Please identify a specific change, if any, you will make in your practice related to safe prescribing of opioid analgesics.
4. What do you see as a barrier to making these changes?
COURSE 2 - MEDICAL ERRORS AND THE UNITED STATES HEALTHCARE SYSTEM:
A B C D
5. Conduct appropriate root cause analysis of medical errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. Utilize strategies for the prevention and reduction of medical errors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Please identify a specific change, if any, you will make in your practice related to reducing medical errors.
8. What do you see as a barrier to making these changes?
COURSE 3 - INTIMATE PARTNER VIOLENCE: COMPASSIONATE CARE, EFFECTIVE ASSESSMENT:
A B C D
9. Identify the barriers that prevent effective and compassionate care of potential survivors of IPV between patient and physicians. 10. Utilize patient interviewing techniques in situations where IPV is suspected . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. Please identify a specific change, if any, you will make in your practice related to intimate partner violence.
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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