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2019 OAS Annual Scientific Meeting: CME
SIGN IN & OVERALL OBJECTIVES
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Degree, exactly as you would like it to appear on your certificate (MD, PhD, etc)
(Required.)
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4.
What email address would you like your certificate information to be sent?
(Required.)
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5.
LEARNING OBJECTIVES
(Required.)
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
Identify the latest anesthesia techniques for ophthalmic surgery.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
Review pertinent historical and anatomical information related to ophthalmic surgery.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
Evaluate different anesthesia techniques to determine which might warrant a change in current practice.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
Generate an increased or sustained interest in developing knowledge, acquiring skills and continuing education in the area of ophthalmic anesthesia.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
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6.
DISCLOSURE COMPLIANCE -- Please rate your level of agreement with the following statements.
(Required.)
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
Faculty disclosures and acknowledgements of commercial support were made.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
There was no evidence of commercial bias in this activity.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
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7.
OBJECTIVITY AND RELEVANCE. Please rate your level of agreement with the following statements:
(Required.)
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
The content was objective and balanced.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
The content was evidence-based.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
Sources of evidence were identified.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
The activity was relevant to my practice.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
I will apply what I learned in this activity.
Strongly Disagree
Disagree
Unsure
Agree
Strongly Agree
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8.
Please list 3 specific things you will do differently as a result of participating in this activity:
(Required.)
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9.
What additional practice-based topics would you like to be addressed in future activities?
(Required.)
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10.
What is your highest degree?
(Required.)
MD
MD/PhD
MD (Resident/Fellow)
DO
DNP
MSN
BSN
PA (MPAS, MMS, other)
PA (BScPA, BHS, other)
PhD
Masters
Bachelors
Other (please specify)
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11.
How long have you been in the health profession?
(Required.)
0-5 years
6-10 years
11-15 years
16-20 years
More than 20 years
Retired
Other (please specify)
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12.
I am willing to particpate in a post-activity outcomes assessment survey.
(Required.)
No.
Yes. (If yes, please provide your email address):
Current Progress,
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