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LONDON IC10 - Posterior capsule rupture: mastering vitrectomy and IOL implantation – a video based course

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* 1. Participant Name:

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* 2. Professional Situation:

Resident

University

Hospital Staff

Ophthalmic Assistant

Private Practice

Industry

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* 3. What was your main reason for choosing this course?

Interesting Topic

Good Faculty

Well-known Course Director

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* 4. How did you rate the content of this course? (1 = poor, 5 = excellent)

1

2

3

4

5

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* 5. How useful was the course for your clinical practice? (1 = poor, 5 = excellent)

1

2

3

4

5

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* 6. Did all listed faculty members attend this course?

Yes

No

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* 7. Was the course free from commercial bias?

Yes

No

If no, what was the bias?

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* 8. Do you have any suggestions to improve the presentations in this course?

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* 9. How did you rate the quality of the speakers in this course? (1 = poor, 5 = excellent)

	1	2	3	4	5
Ath. Agarwal	Ath. Agarwal 1	Ath. Agarwal 2	Ath. Agarwal 3	Ath. Agarwal 4	Ath. Agarwal 5
D. Chang	D. Chang 1	D. Chang 2	D. Chang 3	D. Chang 4	D. Chang 5
A. Agarwal	A. Agarwal 1	A. Agarwal 2	A. Agarwal 3	A. Agarwal 4	A. Agarwal 5
R. Steinert	R. Steinert 1	R. Steinert 2	R. Steinert 3	R. Steinert 4	R. Steinert 5
B. Little	B. Little 1	B. Little 2	B. Little 3	B. Little 4	B. Little 5
K. Mehta	K. Mehta 1	K. Mehta 2	K. Mehta 3	K. Mehta 4	K. Mehta 5

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* 10. How did you rate the standard of English of the speakers in this course? (1 = poor, 5 = excellent)

	1	2	3	4	5
Ath. Agarwal	Ath. Agarwal 1	Ath. Agarwal 2	Ath. Agarwal 3	Ath. Agarwal 4	Ath. Agarwal 5
D. Chang	D. Chang 1	D. Chang 2	D. Chang 3	D. Chang 4	D. Chang 5
A. Agarwal	A. Agarwal 1	A. Agarwal 2	A. Agarwal 3	A. Agarwal 4	A. Agarwal 5
R. Steinert	R. Steinert 1	R. Steinert 2	R. Steinert 3	R. Steinert 4	R. Steinert 5
B. Little	B. Little 1	B. Little 2	B. Little 3	B. Little 4	B. Little 5
K. Mehta	K. Mehta 1	K. Mehta 2	K. Mehta 3	K. Mehta 4	K. Mehta 5

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* 11. General Comments and Suggestions: