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
UNDERSTANDING AND COMPASSION: PAIN, ADDICTION AND END-OF-LIFE CARE:
A B C D
1. Manage patients at the end-of-life in ways consistent with their stated preferences and appropriately manage patients in hospice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Evaluate patients in pain and develop a comprehensive treatment plan. . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. Utilize both non-pharmacological and pharmacological treatment modalities to manage pain. . . . . . . . . . .
4. Identify addiction disorders and develop patient-specific treatment options. . . . . . . . . . . . . . . . . . . . . . . . .
5. Please identify a specific change, if any, you will make in your practice related to pain, addiction and end-of-life care.
6. What do you see as a barrier to making these changes?
OVERALL PROGRAM:
Yes No If no, please explain:
7. The program was balanced, objective and scientifically valid . . . . . . . . . . . . . .
8. Do you feel the program was scientifically sound and free of commercial bias or influence?
9. How can this program be improved?
10. Based on your educational needs, please provide us with suggestions for future program topics and formats.
11. Would you like to use this activity participation as a clinical practice improvement activity (CPIA) for MIPS? Yes No
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