Conference Evaluation

PART 1: Overall Conference

Colorado Society of Osteopathic Medicine
CSOM 2024 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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WELCOME and Conference overview
David Ross, DO, FACEP, Program Chair

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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“Updates in Traumatic Brain Injury Treatment”
Benjamin Busch, 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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“AI: The Double-Edged Scalpel”
Michael Victoroff, MD

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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“Pharmacotherapy for Management of Obesity: What’s new”
Rebecca Andrick, 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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“Why Sleep Matters”
Dr. Neale Lange

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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“Pediatric Lower RespiratoryTract Disease: Asthma & Bronchiolitis”
Hayley Ross, 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 Development of the Energy System of the Body”
Paul Lee, 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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“Approach to a patient with Opioid Use Disorder”
Jean M. Bouquet, 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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“Intertwining Pathways: Addressing Stimulant and Alcohol Use in OUD Care”
Jilla Sabarti, PhD

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 2024 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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“Neurologic Complications of Post COVID Syndrome”
Jinny Tavee, MD

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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”It’s Not Always Pink Eye”
Kim Burrell, 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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“Evaluating the Athlete or Active Individual with Dyspnea”
Tod Olin, MD

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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“New Management of Pulmonary Embolism”
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