Conference Evaluation

PART 1: Overall Conference

Colorado Society of Osteopathic Medicine
CSOM 2023 Fall Hybrid CME: Conference Evaluation

Full Name required for CME credit:

MUST also submit completed and signed Attendance Attestation form (provided at CME)

Full Name required for CME credit:

MUST also submit completed and signed Attendance Attestation form (provided at CME)

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PART 1: Overall Conference
1. Please select ratings for this CME conference: (1-agree, 2-somewhat agree, 3- somewhat disagree, 4- disagree)

a.   ... met objectives

a.   ... met objectives

b.   ... increased my skills and knowledge

b.   ... increased my skills and knowledge

c.  ... will enhance my clinical/practice skills

c.  ... will enhance my clinical/practice skills

d.   ... disseminated osteopathic principles

d.   ... disseminated osteopathic principles

e.   ... is worth recommending to a colleague

e.   ... is worth recommending to a colleague

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2. Please select ratings (1-excellent, 2-good, 3-acceptable, 4-poor)

a.   The speakers were ...

a.   The speakers were ...

b.   The facility and/or web-access was ...

b.   The facility and/or web-access was ...

c.   The evaluation process was ...

c.   The evaluation process was ...

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3.   Please name at least one clinical pearl, practice tip, patient care improvement, or other knowledge gained at this CME conference. Was it from a faculty-led session or from interaction from other learners?

3.   Please name at least one clinical pearl, practice tip, patient care improvement, or other knowledge gained at this CME conference. Was it from a faculty-led session or from interaction from other learners?

4.   Based on your own practice needs, what areas of learning would you like covered in future CME programs? Any specific topics or speakers suggestions?

4.   Based on your own practice needs, what areas of learning would you like covered in future CME programs? Any specific topics or speakers suggestions?

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5. The presentations:

a.   Were balanced and free of commercial bias? 

a.   Were balanced and free of commercial bias? 

b.   Disclosed in advance if any off-label drug use and/or investigational drug use not yet approved by FDA was discussed 

b.   Disclosed in advance if any off-label drug use and/or investigational drug use not yet approved by FDA was discussed 

c. Were based on evidence- based medicine? 

c. Were based on evidence- based medicine? 

d. If you said no to 5 a, 5 b, or 5c, please explain. 

d. If you said no to 5 a, 5 b, or 5c, please explain. 

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6.   How did you hear about this CME? Please select all that apply: 

6.   How did you hear about this CME? Please select all that apply: 

7.  Profile information; please select all that apply: 

7.  Profile information; please select all that apply: 

8.  Please share any additional comments that would help CSOM plan future CME activities:

8.  Please share any additional comments that would help CSOM plan future CME activities:

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PART 2: Evaluation of Presenters and Presentations for Saturday

CSOM CME Presenters and Presentations Saturday
Conference Evaluation of Presenters and Presentations
Saturday

Full Name required for CME credit:
MUST also submit completed and signed Attendance Attestation form (provided at CME)

Full Name required for CME credit:
MUST also submit completed and signed Attendance Attestation form (provided at CME)

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COLORADO LEGISLATIVE UPDATE
Suzanne Hamilton, President

1. Overall impression of the presenter?

1. Overall impression of the presenter?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

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LIFE, LIBERTY, & THE PURSUIT OF LIPIDS
Thomas Haffey, DO, FACC,FACOI, FNLA, FAHA

1. Overall impression of the presenter?

1. Overall impression of the presenter?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

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PHARMACOLOGY MYTHS & PEARLS
Doug Hill, DO

1. Overall impression of the presenter?

1. Overall impression of the presenter?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

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HUNTING INJURIES
Doug Hill, DO

1. Overall impression of the presenter?

1. Overall impression of the presenter?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

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REDISCOVERING THE JOY OF MEDICINE
Karen Kelly, MD

1. Overall impression of the presenters?

1. Overall impression of the presenters?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

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THE EMPATHY EFFECT
Dennis Boyle, MD (COPIC)

1. Overall impression of the presenters?

1. Overall impression of the presenters?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

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PRIMARY CARE FOR PATIENTS WITH SPINAL CORD INJURY
Patricia M. Meyer, DO

1. Overall impression of the presenter?

1. Overall impression of the presenter?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

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EVALUATION & TREATMENT OF CHRONIC COUGH
Andrew C. Boulos, DO, Pulmonary Medicine

1. Overall impression of the presenter?

1. Overall impression of the presenter?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

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PSYCHIATRY UPDATE FOR PRIMARY CARE CLINICIANS
Teodor Huzij, DO, Psychiatrist

1. Overall impression of the presenter?

1. Overall impression of the presenter?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing the goal?

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PART 3: Evaluation of Presenters and Presentations for Sunday

CSOM CME Presenters and Presentations Sunday
CSOM 2023 Fall Hybrid CME: Conference Evaluation

Full Name required for CME credit:MUST also submit completed and signed Attendance Attestation form (provided at CME)

Full Name required for CME credit:MUST also submit completed and signed Attendance Attestation form (provided at CME)

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FUNCTIONAL MEDICINE IN OSTEOPATHY
Ellice Goldberg, DO

1. Overall impression of the presenter?

1. Overall impression of the presenter?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly
acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly
acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing
the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing
the goal?

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SAFE OPIOID PRESCRIBING & HARM REDUCTION BASICS
Rachel Linger, PhD, Associate Professor of Pharmacology

1. Overall impression of the presenter?

1. Overall impression of the presenter?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly
acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly
acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing
the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing
the goal?

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MEDICATIONS FOR OPIOID USE DISORDER
Rachel Linger, PhD, Associate Professor of Pharmacology

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly
acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly
acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing
the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing
the goal?

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LIGHTNING ROUND WITH STUDENTS
David W. Ross, DO, FACEP

1. Overall impression of the presenter?

1. Overall impression of the presenter?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly
acquired knowledge from this session?

2. What HAVE YOU DONE or PLAN TO DO differently to improve patient outcomes with the newly
acquired knowledge from this session?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing
the goal?

3. Have you set a goal pertaining to the change(s), and if so, how close were you to accomplishing
the goal?

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PART 4: CSOM Attendance Attestation Form

Follow this link to complete the CSOM Attendance Attestation Form