2018 Annual Meeting- Clinical Day 2 (Sunday)

Sunday, June 3

Program Evaluation and Record of Attendance

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

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* 1. Address

Name

Email Address

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* 2. Interactive Clinical Forum -Stem Cells in Clinical Practice

	Poor	Fair	Satisfactory	Good	Excellent
Jason Dragoo, M.D.	Jason Dragoo, M.D. Poor	Jason Dragoo, M.D. Fair	Jason Dragoo, M.D. Satisfactory	Jason Dragoo, M.D. Good	Jason Dragoo, M.D. Excellent

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* 3. Interactive Clinical Forum: Treating Knee OA with Hyaluronic Acid; Advances in the management of knee OA pain

	Poor	Fair	Satisfactory	Good	Excellent
David Salyer, PhD, Medical Science Liaison, Bioventus	David Salyer, PhD, Medical Science Liaison, Bioventus Poor	David Salyer, PhD, Medical Science Liaison, Bioventus Fair	David Salyer, PhD, Medical Science Liaison, Bioventus Satisfactory	David Salyer, PhD, Medical Science Liaison, Bioventus Good	David Salyer, PhD, Medical Science Liaison, Bioventus Excellent

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* 4. Pediatric Orthopaedics

	Poor	Fair	Satisfactory	Good	Excellent
Steven Frick, M.D.	Steven Frick, M.D. Poor	Steven Frick, M.D. Fair	Steven Frick, M.D. Satisfactory	Steven Frick, M.D. Good	Steven Frick, M.D. Excellent
Kevin Shea, M.D.	Kevin Shea, M.D. Poor	Kevin Shea, M.D. Fair	Kevin Shea, M.D. Satisfactory	Kevin Shea, M.D. Good	Kevin Shea, M.D. Excellent

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* 5. What's New In Sports Medicine?

	Poor	Fair	Satisfactory	Good	Excellent
Nicholas Colyvas, M.D.	Nicholas Colyvas, M.D. Poor	Nicholas Colyvas, M.D. Fair	Nicholas Colyvas, M.D. Satisfactory	Nicholas Colyvas, M.D. Good	Nicholas Colyvas, M.D. Excellent
Zackary Vaughn, M.D.	Zackary Vaughn, M.D. Poor	Zackary Vaughn, M.D. Fair	Zackary Vaughn, M.D. Satisfactory	Zackary Vaughn, M.D. Good	Zackary Vaughn, M.D. Excellent
Jason Dragoo, M.D.	Jason Dragoo, M.D. Poor	Jason Dragoo, M.D. Fair	Jason Dragoo, M.D. Satisfactory	Jason Dragoo, M.D. Good	Jason Dragoo, M.D. Excellent
Benjamin Ma, M.D.	Benjamin Ma, M.D. Poor	Benjamin Ma, M.D. Fair	Benjamin Ma, M.D. Satisfactory	Benjamin Ma, M.D. Good	Benjamin Ma, M.D. Excellent
John Costouros, M.D.	John Costouros, M.D. Poor	John Costouros, M.D. Fair	John Costouros, M.D. Satisfactory	John Costouros, M.D. Good	John Costouros, M.D. Excellent

Educational Merit

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* 6. 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

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* 7. 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

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* 8. 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?

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