2018 Annual Meeting- QME Course

Thursday May 31

Program Evaluation and Record of Attendance

To receive verification of your attendance and CME hours, COMPLETE this evaluation form.

Question Title

* 1. Address

Name

Email Address

Question Title

* 2. Apportionment Symposium

	Poor	Fair	Satisfactory	Good	Excellent
Scott Anderson, M.D.	Scott Anderson, M.D. Poor	Scott Anderson, M.D. Fair	Scott Anderson, M.D. Satisfactory	Scott Anderson, M.D. Good	Scott Anderson, M.D. Excellent
Richard Braun, M.D.	Richard Braun, M.D. Poor	Richard Braun, M.D. Fair	Richard Braun, M.D. Satisfactory	Richard Braun, M.D. Good	Richard Braun, M.D. Excellent
Samuel Ahn, M.D.	Samuel Ahn, M.D. Poor	Samuel Ahn, M.D. Fair	Samuel Ahn, M.D. Satisfactory	Samuel Ahn, M.D. Good	Samuel Ahn, M.D. Excellent

Question Title

* 3. Apportioning to Genetic Diseases Symposium

	Poor	Fair	Satisfactory	Good	Excellent
Gideon Baum, Consulting Senate Labor & Industrial Relations Committee	Gideon Baum, Consulting Senate Labor & Industrial Relations Committee Poor	Gideon Baum, Consulting Senate Labor & Industrial Relations Committee Fair	Gideon Baum, Consulting Senate Labor & Industrial Relations Committee Satisfactory	Gideon Baum, Consulting Senate Labor & Industrial Relations Committee Good	Gideon Baum, Consulting Senate Labor & Industrial Relations Committee Excellent
Jeffrey Coe, M.D.	Jeffrey Coe, M.D. Poor	Jeffrey Coe, M.D. Fair	Jeffrey Coe, M.D. Satisfactory	Jeffrey Coe, M.D. Good	Jeffrey Coe, M.D. Excellent
Eugene Carragee, M.D., Standford	Eugene Carragee, M.D., Standford Poor	Eugene Carragee, M.D., Standford Fair	Eugene Carragee, M.D., Standford Satisfactory	Eugene Carragee, M.D., Standford Good	Eugene Carragee, M.D., Standford Excellent

Question Title

* 4. Important Worker's Compensation Rulings

	Poor	Fair	Satisfactory	Good	Excellent
Sean Morrisroe, Esq., Bradford & Barthel, LLP	Sean Morrisroe, Esq., Bradford & Barthel, LLP Poor	Sean Morrisroe, Esq., Bradford & Barthel, LLP Fair	Sean Morrisroe, Esq., Bradford & Barthel, LLP Satisfactory	Sean Morrisroe, Esq., Bradford & Barthel, LLP Good	Sean Morrisroe, Esq., Bradford & Barthel, LLP Excellent

Question Title

* 5. Why 400 QMEs Have Been Removed from the QME System

	Poor	Fair	Satisfactory	Good	Excellent
Bill Tappin, Esq., Tappin and Associates	Bill Tappin, Esq., Tappin and Associates Poor	Bill Tappin, Esq., Tappin and Associates Fair	Bill Tappin, Esq., Tappin and Associates Satisfactory	Bill Tappin, Esq., Tappin and Associates Good	Bill Tappin, Esq., Tappin and Associates Excellent

Question Title

* 6. How to Write Like an Attorney

	Poor	Fair	Satisfactory	Good	Excellent
Sue Honor-Vangerov, Esq.	Sue Honor-Vangerov, Esq. Poor	Sue Honor-Vangerov, Esq. Fair	Sue Honor-Vangerov, Esq. Satisfactory	Sue Honor-Vangerov, Esq. Good	Sue Honor-Vangerov, Esq. Excellent

Question Title

* 7. Challenging QME/AME Reports

	Poor	Fair	Satisfactory	Good	Excellent
Keith More, Esq., Bentley & More	Keith More, Esq., Bentley & More Poor	Keith More, Esq., Bentley & More Fair	Keith More, Esq., Bentley & More Satisfactory	Keith More, Esq., Bentley & More Good	Keith More, Esq., Bentley & More Excellent
Bill Tappin, Esq., Tappin and Associates	Bill Tappin, Esq., Tappin and Associates Poor	Bill Tappin, Esq., Tappin and Associates Fair	Bill Tappin, Esq., Tappin and Associates Satisfactory	Bill Tappin, Esq., Tappin and Associates Good	Bill Tappin, Esq., Tappin and Associates Excellent

Question Title

* 8. Pain Management Treatment Options

	Poor	Fair	Satisfactory	Good	Excellent
Steven Feinberg, M.D. Feinberg Medical Group	Steven Feinberg, M.D. Feinberg Medical Group Poor	Steven Feinberg, M.D. Feinberg Medical Group Fair	Steven Feinberg, M.D. Feinberg Medical Group Satisfactory	Steven Feinberg, M.D. Feinberg Medical Group Good	Steven Feinberg, M.D. Feinberg Medical Group Excellent

Question Title

* 9. DWC 2018 Priorities

	Poor	Fair	Satisfactory	Good	Excellent
George Parisotto, Esq., AD Div. of Workers’ Compensation	George Parisotto, Esq., AD Div. of Workers’ Compensation Poor	George Parisotto, Esq., AD Div. of Workers’ Compensation Fair	George Parisotto, Esq., AD Div. of Workers’ Compensation Satisfactory	George Parisotto, Esq., AD Div. of Workers’ Compensation Good	George Parisotto, Esq., AD Div. of Workers’ Compensation Excellent

Question Title

* 10. A Walk Through an Efficient Medical-Legal Office

	Poor	Fair	Satisfactory	Good	Excellent
Daphne Carrico, Feiwell Medical Group	Daphne Carrico, Feiwell Medical Group Poor	Daphne Carrico, Feiwell Medical Group Fair	Daphne Carrico, Feiwell Medical Group Satisfactory	Daphne Carrico, Feiwell Medical Group Good	Daphne Carrico, Feiwell Medical Group Excellent

Question Title

* 11. 2018 Changes in Workers' Compensation Affecting Orthopaedic Practices

	Poor	Fair	Satisfactory	Good	Excellent
Sue Honor-Vangerov, Esq.	Sue Honor-Vangerov, Esq. Poor	Sue Honor-Vangerov, Esq. Fair	Sue Honor-Vangerov, Esq. Satisfactory	Sue Honor-Vangerov, Esq. Good	Sue Honor-Vangerov, Esq. Excellent
Sarah Moray, DaisyBill	Sarah Moray, DaisyBill Poor	Sarah Moray, DaisyBill Fair	Sarah Moray, DaisyBill Satisfactory	Sarah Moray, DaisyBill Good	Sarah Moray, DaisyBill Excellent

Educational Merit

Question Title

* 12. Please rate the extent of your knowledge of the subject matter covered before and after this meeting;

	No knowledge	Fair	Satisfactory	Good	Expert
Before the meeting	Before the meeting No knowledge	Before the meeting Fair	Before the meeting Satisfactory	Before the meeting Good	Before the meeting Expert
After the meeting	After the meeting No knowledge	After the meeting Fair	After the meeting Satisfactory	After the meeting Good	After the meeting Expert
To what extent do you think you will be able to apply the information from this meeting in your practice?	To what extent do you think you will be able to apply the information from this meeting in your practice? No knowledge	To what extent do you think you will be able to apply the information from this meeting in your practice? Fair	To what extent do you think you will be able to apply the information from this meeting in your practice? Satisfactory	To what extent do you think you will be able to apply the information from this meeting in your practice? Good	To what extent do you think you will be able to apply the information from this meeting in your practice? Expert

Question Title

* 13. Cultural Competency:

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity:	Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity: Strongly Disagree	Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity: Disagree	Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity: Neutral	Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity: Agree	Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity: Strongly Agree

Question Title

* 14. Resources on cultural and linguistic competency have been included in the meeting presentations and materials. How can we further meet your educational needs in this area?

Question Title

* 15. What barriers do you see to implementing changes that you learned about during the presentations today: