CME Evaluation Tally
Procedural Management of Common Painful Conditions - TVPC Enduring
AMA PRA Category 1 Credit(s
)
1.0
Instructions: Please complete the following questionnaire. We will send out CME certificates within 7-10 business days of receipt.
*
1.
Please print your name and NPI number for tally sheet.
(Required.)
2.
How was the Presenter?
Outstanding
Good
Average
Fair
Poor
Outstanding
Good
Average
Fair
Poor
3.
Objectives:
As a result of this training, I am able to: Define Chronic Pain
Yes
No
4.
Objectives:
Explore common pain conditions and diagnostic assessments.
Yes
No
5.
Objectives:
Evaluate goals of procedural therapy and alternatives to opioid use
Yes
No
6.
Objectives:
Review candidacy guidelines for interventional procedures
Yes
No
7.
Learning Outcomes: Talk met stated objectives
Outstanding
Good
Average
Fair
Poor
Outstanding
Good
Average
Fair
Poor
8.
Learning Outcomes: Stimulation of Ideas and Interest
Outstanding
Good
Average
Fair
Poor
Outstanding
Good
Average
Fair
Poor
9.
Learning Outcomes: Applicability to my practice
Outstanding
Good
Average
Fair
Poor
Outstanding
Good
Average
Fair
Poor
10.
Learning Outcomes: Likelihood of applying to my practice
Outstanding
Good
Average
Fair
Poor
Outstanding
Good
Average
Fair
Poor
11.
What will I do differently as a result of attending this presentation?
12.
How would you rate your level of knowledge about the program content before you attended this program?
None
Some knowledge
Proficient
Expert Level
13.
How would you rate your level of knowledge about the program content after you attended?
Unchanged
Somewhat Increased
Definitely Increased
14.
What other topics would help you better perform your job?
15.
What process improvement ideas have you identified for this activity?