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Paris IC71 - Phaco nightmares and worst-case scenarios: 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)

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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
Amar Agarwal	Amar Agarwal 1	Amar Agarwal 2	Amar Agarwal 3	Amar Agarwal 4	Amar Agarwal 5
D. Chang	D. Chang 1	D. Chang 2	D. Chang 3	D. Chang 4	D. Chang 5
R. Osher	R. Osher 1	R. Osher 2	R. Osher 3	R. Osher 4	R. Osher 5
Athiya Agarwal	Athiya Agarwal 1	Athiya Agarwal 2	Athiya Agarwal 3	Athiya Agarwal 4	Athiya Agarwal 5
T. Kohnen	T. Kohnen 1	T. Kohnen 2	T. Kohnen 3	T. Kohnen 4	T. Kohnen 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
Amar Agarwal	Amar Agarwal 1	Amar Agarwal 2	Amar Agarwal 3	Amar Agarwal 4	Amar Agarwal 5
D. Chang	D. Chang 1	D. Chang 2	D. Chang 3	D. Chang 4	D. Chang 5
R. Osher	R. Osher 1	R. Osher 2	R. Osher 3	R. Osher 4	R. Osher 5
Athiya Agarwal	Athiya Agarwal 1	Athiya Agarwal 2	Athiya Agarwal 3	Athiya Agarwal 4	Athiya Agarwal 5
T. Kohnen	T. Kohnen 1	T. Kohnen 2	T. Kohnen 3	T. Kohnen 4	T. Kohnen 5

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* 11. General Comments and Suggestions: