OOA's 2024 Winter CME Seminar

Attestation & Course Evaluation

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* 1. The OOA designates this activity for 17 AOA Category 1-A credits and will report CME commensurate with the extent of the physician’s participation in this activity. I attest that I have attended the number of hours listed here:

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* 2. Please type your first and last name here along with the date as your Electronic Signature. Example: Jane Doe 3/7/2023.

Name:

Date:

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* 3. AOA number, required to file CME. Please type credentials (MD, NP, etc.) if you are not a DO.
(If you are unaware of your AOA #, please contact the AOA to receive it or check your OOA profile).

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* 4. Please rate your overall perceptions regarding the following aspects of this CME program.

	Poor	Needs Improvement	Fair	Good	Excellent
My overall perceptions of the presentation quality by faculty	My overall perceptions of the presentation quality by faculty Poor	My overall perceptions of the presentation quality by faculty Needs Improvement	My overall perceptions of the presentation quality by faculty Fair	My overall perceptions of the presentation quality by faculty Good	My overall perceptions of the presentation quality by faculty Excellent
The amount of material covered per topic :	The amount of material covered per topic : Poor	The amount of material covered per topic : Needs Improvement	The amount of material covered per topic : Fair	The amount of material covered per topic : Good	The amount of material covered per topic : Excellent
The scope or breadth of material covered	The scope or breadth of material covered Poor	The scope or breadth of material covered Needs Improvement	The scope or breadth of material covered Fair	The scope or breadth of material covered Good	The scope or breadth of material covered Excellent
The usefulness of the program to me	The usefulness of the program to me Poor	The usefulness of the program to me Needs Improvement	The usefulness of the program to me Fair	The usefulness of the program to me Good	The usefulness of the program to me Excellent
My overall impression of the program	My overall impression of the program Poor	My overall impression of the program Needs Improvement	My overall impression of the program Fair	My overall impression of the program Good	My overall impression of the program Excellent

Comments:

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* 5. Please Evaluate the following portions of the program.

	Poor	Needs Improvement	Fair	Good	Excellent	N/A or did not attend
A. "DO" Consider Volunteering Abroad Stan Grogg, DO, FACOP, FAAP	A. "DO" Consider Volunteering Abroad Stan Grogg, DO, FACOP, FAAP Poor	A. "DO" Consider Volunteering Abroad Stan Grogg, DO, FACOP, FAAP Needs Improvement	A. "DO" Consider Volunteering Abroad Stan Grogg, DO, FACOP, FAAP Fair	A. "DO" Consider Volunteering Abroad Stan Grogg, DO, FACOP, FAAP Good	A. "DO" Consider Volunteering Abroad Stan Grogg, DO, FACOP, FAAP Excellent	A. "DO" Consider Volunteering Abroad Stan Grogg, DO, FACOP, FAAP N/A or did not attend
B. Health Equity and SDOH: What's Next? Moving Beyond the Data Dustin Cupp, DO, MSHD, CPE, FAAFP	B. Health Equity and SDOH: What's Next? Moving Beyond the Data Dustin Cupp, DO, MSHD, CPE, FAAFP Poor	B. Health Equity and SDOH: What's Next? Moving Beyond the Data Dustin Cupp, DO, MSHD, CPE, FAAFP Needs Improvement	B. Health Equity and SDOH: What's Next? Moving Beyond the Data Dustin Cupp, DO, MSHD, CPE, FAAFP Fair	B. Health Equity and SDOH: What's Next? Moving Beyond the Data Dustin Cupp, DO, MSHD, CPE, FAAFP Good	B. Health Equity and SDOH: What's Next? Moving Beyond the Data Dustin Cupp, DO, MSHD, CPE, FAAFP Excellent	B. Health Equity and SDOH: What's Next? Moving Beyond the Data Dustin Cupp, DO, MSHD, CPE, FAAFP N/A or did not attend
C. Common Dermatology Concerns for PCP Hannah Howard, DO	C. Common Dermatology Concerns for PCP Hannah Howard, DO Poor	C. Common Dermatology Concerns for PCP Hannah Howard, DO Needs Improvement	C. Common Dermatology Concerns for PCP Hannah Howard, DO Fair	C. Common Dermatology Concerns for PCP Hannah Howard, DO Good	C. Common Dermatology Concerns for PCP Hannah Howard, DO Excellent	C. Common Dermatology Concerns for PCP Hannah Howard, DO N/A or did not attend
D. Cardiology Update in Structural, Electrophysiology and Beyond Mathew Good, DO, FACC	D. Cardiology Update in Structural, Electrophysiology and Beyond Mathew Good, DO, FACC Poor	D. Cardiology Update in Structural, Electrophysiology and Beyond Mathew Good, DO, FACC Needs Improvement	D. Cardiology Update in Structural, Electrophysiology and Beyond Mathew Good, DO, FACC Fair	D. Cardiology Update in Structural, Electrophysiology and Beyond Mathew Good, DO, FACC Good	D. Cardiology Update in Structural, Electrophysiology and Beyond Mathew Good, DO, FACC Excellent	D. Cardiology Update in Structural, Electrophysiology and Beyond Mathew Good, DO, FACC N/A or did not attend
E. Changing the Face of Lung Cancer Rachael Pattison, DO	E. Changing the Face of Lung Cancer Rachael Pattison, DO Poor	E. Changing the Face of Lung Cancer Rachael Pattison, DO Needs Improvement	E. Changing the Face of Lung Cancer Rachael Pattison, DO Fair	E. Changing the Face of Lung Cancer Rachael Pattison, DO Good	E. Changing the Face of Lung Cancer Rachael Pattison, DO Excellent	E. Changing the Face of Lung Cancer Rachael Pattison, DO N/A or did not attend
F. Imposter Doctors: The Importance of Physician-Led Care Rebekah Bernard, MD	F. Imposter Doctors: The Importance of Physician-Led Care Rebekah Bernard, MD Poor	F. Imposter Doctors: The Importance of Physician-Led Care Rebekah Bernard, MD Needs Improvement	F. Imposter Doctors: The Importance of Physician-Led Care Rebekah Bernard, MD Fair	F. Imposter Doctors: The Importance of Physician-Led Care Rebekah Bernard, MD Good	F. Imposter Doctors: The Importance of Physician-Led Care Rebekah Bernard, MD Excellent	F. Imposter Doctors: The Importance of Physician-Led Care Rebekah Bernard, MD N/A or did not attend
G. Taking Care of Children in the Age of Legalized Marijuana Theresa Horton, MD	G. Taking Care of Children in the Age of Legalized Marijuana Theresa Horton, MD Poor	G. Taking Care of Children in the Age of Legalized Marijuana Theresa Horton, MD Needs Improvement	G. Taking Care of Children in the Age of Legalized Marijuana Theresa Horton, MD Fair	G. Taking Care of Children in the Age of Legalized Marijuana Theresa Horton, MD Good	G. Taking Care of Children in the Age of Legalized Marijuana Theresa Horton, MD Excellent	G. Taking Care of Children in the Age of Legalized Marijuana Theresa Horton, MD N/A or did not attend
H. Changing Dynamics: An Update on the Evaluation and Management of Hypertrophic Cardiomyopathy Tyler Ellington, DO	H. Changing Dynamics: An Update on the Evaluation and Management of Hypertrophic Cardiomyopathy Tyler Ellington, DO Poor	H. Changing Dynamics: An Update on the Evaluation and Management of Hypertrophic Cardiomyopathy Tyler Ellington, DO Needs Improvement	H. Changing Dynamics: An Update on the Evaluation and Management of Hypertrophic Cardiomyopathy Tyler Ellington, DO Fair	H. Changing Dynamics: An Update on the Evaluation and Management of Hypertrophic Cardiomyopathy Tyler Ellington, DO Good	H. Changing Dynamics: An Update on the Evaluation and Management of Hypertrophic Cardiomyopathy Tyler Ellington, DO Excellent	H. Changing Dynamics: An Update on the Evaluation and Management of Hypertrophic Cardiomyopathy Tyler Ellington, DO N/A or did not attend
I. Legislative Update LeRoy E. Young, DO, FAOCOPM dist. Jami Longacre	I. Legislative Update LeRoy E. Young, DO, FAOCOPM dist. Jami Longacre Poor	I. Legislative Update LeRoy E. Young, DO, FAOCOPM dist. Jami Longacre Needs Improvement	I. Legislative Update LeRoy E. Young, DO, FAOCOPM dist. Jami Longacre Fair	I. Legislative Update LeRoy E. Young, DO, FAOCOPM dist. Jami Longacre Good	I. Legislative Update LeRoy E. Young, DO, FAOCOPM dist. Jami Longacre Excellent	I. Legislative Update LeRoy E. Young, DO, FAOCOPM dist. Jami Longacre N/A or did not attend
J. Proper Prescribing Layne Subera, DO, FACOFP Richard Zimmer, CMBI	J. Proper Prescribing Layne Subera, DO, FACOFP Richard Zimmer, CMBI Poor	J. Proper Prescribing Layne Subera, DO, FACOFP Richard Zimmer, CMBI Needs Improvement	J. Proper Prescribing Layne Subera, DO, FACOFP Richard Zimmer, CMBI Fair	J. Proper Prescribing Layne Subera, DO, FACOFP Richard Zimmer, CMBI Good	J. Proper Prescribing Layne Subera, DO, FACOFP Richard Zimmer, CMBI Excellent	J. Proper Prescribing Layne Subera, DO, FACOFP Richard Zimmer, CMBI N/A or did not attend
K. Presentations by ROGME Poster Symposium Finalists Zach Monahan Cassie McCoy Pedro Braga	K. Presentations by ROGME Poster Symposium Finalists Zach Monahan Cassie McCoy Pedro Braga Poor	K. Presentations by ROGME Poster Symposium Finalists Zach Monahan Cassie McCoy Pedro Braga Needs Improvement	K. Presentations by ROGME Poster Symposium Finalists Zach Monahan Cassie McCoy Pedro Braga Fair	K. Presentations by ROGME Poster Symposium Finalists Zach Monahan Cassie McCoy Pedro Braga Good	K. Presentations by ROGME Poster Symposium Finalists Zach Monahan Cassie McCoy Pedro Braga Excellent	K. Presentations by ROGME Poster Symposium Finalists Zach Monahan Cassie McCoy Pedro Braga N/A or did not attend
L. Risk Management: "Social Media Risk" Shari Moore, RN, BSN	L. Risk Management: "Social Media Risk" Shari Moore, RN, BSN Poor	L. Risk Management: "Social Media Risk" Shari Moore, RN, BSN Needs Improvement	L. Risk Management: "Social Media Risk" Shari Moore, RN, BSN Fair	L. Risk Management: "Social Media Risk" Shari Moore, RN, BSN Good	L. Risk Management: "Social Media Risk" Shari Moore, RN, BSN Excellent	L. Risk Management: "Social Media Risk" Shari Moore, RN, BSN N/A or did not attend
M. Value-Based Models: ACO Review Jeffrey Galles, DO	M. Value-Based Models: ACO Review Jeffrey Galles, DO Poor	M. Value-Based Models: ACO Review Jeffrey Galles, DO Needs Improvement	M. Value-Based Models: ACO Review Jeffrey Galles, DO Fair	M. Value-Based Models: ACO Review Jeffrey Galles, DO Good	M. Value-Based Models: ACO Review Jeffrey Galles, DO Excellent	M. Value-Based Models: ACO Review Jeffrey Galles, DO N/A or did not attend
N. Fostering Physician Well-Being Glennda Tiller, DO, M.Ed.	N. Fostering Physician Well-Being Glennda Tiller, DO, M.Ed. Poor	N. Fostering Physician Well-Being Glennda Tiller, DO, M.Ed. Needs Improvement	N. Fostering Physician Well-Being Glennda Tiller, DO, M.Ed. Fair	N. Fostering Physician Well-Being Glennda Tiller, DO, M.Ed. Good	N. Fostering Physician Well-Being Glennda Tiller, DO, M.Ed. Excellent	N. Fostering Physician Well-Being Glennda Tiller, DO, M.Ed. N/A or did not attend
O. Vaccine Hesitant Populations and Communications Strategies for Providers Mary Gowin, PhD, MPH	O. Vaccine Hesitant Populations and Communications Strategies for Providers Mary Gowin, PhD, MPH Poor	O. Vaccine Hesitant Populations and Communications Strategies for Providers Mary Gowin, PhD, MPH Needs Improvement	O. Vaccine Hesitant Populations and Communications Strategies for Providers Mary Gowin, PhD, MPH Fair	O. Vaccine Hesitant Populations and Communications Strategies for Providers Mary Gowin, PhD, MPH Good	O. Vaccine Hesitant Populations and Communications Strategies for Providers Mary Gowin, PhD, MPH Excellent	O. Vaccine Hesitant Populations and Communications Strategies for Providers Mary Gowin, PhD, MPH N/A or did not attend
P. Death Certification from the Perspective of the Oklahoma OCME Ross Miller, B.A., MD	P. Death Certification from the Perspective of the Oklahoma OCME Ross Miller, B.A., MD Poor	P. Death Certification from the Perspective of the Oklahoma OCME Ross Miller, B.A., MD Needs Improvement	P. Death Certification from the Perspective of the Oklahoma OCME Ross Miller, B.A., MD Fair	P. Death Certification from the Perspective of the Oklahoma OCME Ross Miller, B.A., MD Good	P. Death Certification from the Perspective of the Oklahoma OCME Ross Miller, B.A., MD Excellent	P. Death Certification from the Perspective of the Oklahoma OCME Ross Miller, B.A., MD N/A or did not attend

Comments:

Question Title

* 6. On the scale provided, please rate the following:

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The program met my expectations and learning needs.	The program met my expectations and learning needs. Strongly Disagree	The program met my expectations and learning needs. Disagree	The program met my expectations and learning needs. Neutral	The program met my expectations and learning needs. Agree	The program met my expectations and learning needs. Strongly Agree
The format was effective.	The format was effective. Strongly Disagree	The format was effective. Disagree	The format was effective. Neutral	The format was effective. Agree	The format was effective. Strongly Agree
As a result of participating in this activity, I am confident that I will improve my knowledge, competence, performance, and/or patient outcomes.	As a result of participating in this activity, I am confident that I will improve my knowledge, competence, performance, and/or patient outcomes. Strongly Disagree	As a result of participating in this activity, I am confident that I will improve my knowledge, competence, performance, and/or patient outcomes. Disagree	As a result of participating in this activity, I am confident that I will improve my knowledge, competence, performance, and/or patient outcomes. Neutral	As a result of participating in this activity, I am confident that I will improve my knowledge, competence, performance, and/or patient outcomes. Agree	As a result of participating in this activity, I am confident that I will improve my knowledge, competence, performance, and/or patient outcomes. Strongly Agree
I learned skills and concepts that will help me be more effective and strategic in my work.	I learned skills and concepts that will help me be more effective and strategic in my work. Strongly Disagree	I learned skills and concepts that will help me be more effective and strategic in my work. Disagree	I learned skills and concepts that will help me be more effective and strategic in my work. Neutral	I learned skills and concepts that will help me be more effective and strategic in my work. Agree	I learned skills and concepts that will help me be more effective and strategic in my work. Strongly Agree
The program provided me with new ideas and resources.	The program provided me with new ideas and resources. Strongly Disagree	The program provided me with new ideas and resources. Disagree	The program provided me with new ideas and resources. Neutral	The program provided me with new ideas and resources. Agree	The program provided me with new ideas and resources. Strongly Agree

Please describe any specific changes you will make to your practice due to what you have learned from this program:

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* 7. Was there any Perceived Bias?

	Yes	No
The program was free of commercial bias.	The program was free of commercial bias. Yes	The program was free of commercial bias. No
Faculty disclosures were made.	Faculty disclosures were made. Yes	Faculty disclosures were made. No

If "No", please describe:

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* 8. Based on your participation today, have you identified any barriers when implementing new information or techniques learned?

Cost

Lack of experience

Lack of resources

Lack of time to assess/counsel patients

Technical skills

Lack of consensus or professional guidelines

Reimbursement/insurance issues

Patient compliance issues

No barriers

Other (please specify or comment)

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* 9. How did you learn about this program? (Check all that apply)

Fellow Physicians

Postcard through the mail or fax

Email from OOA

www.okosteo.org

Mailer and dues notice from OOA

www.osteopathic.org

Text from OOA

AOA CME Search

Social Media from OOA

Other (please specify)

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* 10. Why did you choose to attend this meeting?

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* 11. Suggestions of topics for future programs of value to you:

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* 12. Would you like to be included in the OOA's speakers' bureau?

yes

If so, please provide your name and subjects of expertise.

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* 13. Would you like?

	Yes	No
Information about upcoming OOA CME opportunities?	Information about upcoming OOA CME opportunities? Yes	Information about upcoming OOA CME opportunities? No
Information about participating in OOA bureaus, committees, or student mentorship program?	Information about participating in OOA bureaus, committees, or student mentorship program? Yes	Information about participating in OOA bureaus, committees, or student mentorship program? No
Membership information about OOA?	Membership information about OOA? Yes	Membership information about OOA? No

Other (please specify)

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* 14. Do you have any practical suggestions for useful change or improvements we can make?

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* 15. Please provide the following information so that we can keep you updated on OOA developments and respond to your input

Name:

Address:

Address 2:

City/Town:

State:

ZIP:

Country

Email Address:

Phone Number:

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* 1. The OOA designates this activity for 17 AOA Category 1-A credits and will report CME commensurate with the extent of the physician’s participation in this activity. I attest that I have attended the number of hours listed here:

Question Title

* 2. Please type your first and last name here along with the date as your Electronic Signature. Example: Jane Doe 3/7/2023.

Question Title

* 3. AOA number, required to file CME. Please type credentials (MD, NP, etc.) if you are not a DO.(If you are unaware of your AOA #, please contact the AOA to receive it or check your OOA profile).

Question Title

* 4. Please rate your overall perceptions regarding the following aspects of this CME program.

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* 5. Please Evaluate the following portions of the program.

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* 6. On the scale provided, please rate the following:

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* 7. Was there any Perceived Bias?

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* 8. Based on your participation today, have you identified any barriers when implementing new information or techniques learned?

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* 9. How did you learn about this program? (Check all that apply)

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* 10. Why did you choose to attend this meeting?

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* 11. Suggestions of topics for future programs of value to you:

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* 12. Would you like to be included in the OOA's speakers' bureau?

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* 13. Would you like?

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* 14. Do you have any practical suggestions for useful change or improvements we can make?

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* 15. Please provide the following information so that we can keep you updated on OOA developments and respond to your input

* 3. AOA number, required to file CME. Please type credentials (MD, NP, etc.) if you are not a DO.
(If you are unaware of your AOA #, please contact the AOA to receive it or check your OOA profile).