Course Evaluation for Continuing Education Webinars-WTCHP

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

WD2809 Evaluation-exposure

Course Evaluation for Continuing Education Webinars-WTCHP

OMB: 0920-0953

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Continuing Education Proposal Packet

Live Educational Activity and Enduring Materials

Course Evaluation


Activity title:

Airway, Digestive, and Mental Health Comorbidities in WTC Responders and Survivors


Activity #:

WD2809

Proposed start/release date: (MM/DD/YYYY)

3/1/2019


Please take a moment to give us your feedback and write your comments in the boxes provided.


Content and Learning Materials



Strongly Agree

Agree

Neither / Undecided

Disagree

Strongly Disagree

N/A

The content and learning materials addressed a need or a gap in my knowledge or skills.

The difficulty level was appropriate.

The length and pace of the activity was appropriate.

Feedback (Q&A, knowledge checks) I received during the activity was helpful.

Please share your comments about the content and learning materials.

Comments:

What suggestions do you have to improve this educational activity?

Comments:


Presentation



Strongly Agree

Agree

Neither / Undecided

Disagree

Strongly Disagree

N/A

The content experts demonstrated expertise in the subject matter.

The delivery method used (conference, journal article, webcast, e-learning, etc.) was appropriate for the subject matter and helped me learn the content.

The instructional strategies (lecture, case scenarios, figures, tables, media, etc.) helped me learn the content.


Learning Environment

The learning environment was conducive to learning.

Do you believe this activity was influenced by commercial interests?

Yes

No

If yes, please explain.

Comments:

Did you experience technical difficulties with this activity?

Yes

No

If yes, please explain.

Comments:


Knowledge, Competence, and Practice




Strongly Agree

Agree

Neither / Undecided

Disagree

Strongly Disagree

N/A


This activity effectively met my educational needs.


I will be able to apply the knowledge gained from this activity to increase or maintain my competence.


I will be able to apply the knowledge gained from this activity to my practice.


I will be able to apply the knowledge/skills gained from this activity to develop strategies/provide interventions.


I will be able to apply the knowledge gained from this activity to improve performance.


I will be able to apply the knowledge gained from this activity to improve performance of the team.



What change or impact do you anticipate?



Do you anticipate barriers applying this knowledge?

Yes No


If yes, please explain


Comments:



Learning Objectives


Strongly Agree

Agree

Neither / Undecided

Disagree

Strongly Disagree

N/A


I can identify the groups of individuals affected by the 9/11 terrorist attack and environmental disaster and their range of exposures.


I can describe acute and longer-term aerodigestive and mental health impacts on populations exposed to the WTC disaster.


I can describe the benefits of a patient-centered, multidisciplinary program in managing 9/11 exposure-related medical and mental health comorbidities.


I can identify groups of individuals affected by the 9/11 terrorist attacks and describe the benefits of patient-centered care.


The content was relevant to the learning objectives.


Please share your comments regarding the learning objectives.

Comments:



Access




Strongly Agree

Agree

Neither / Undecided

Disagree

Strongly Disagree

N/A


The CDC’s Training and Continuing Education Online (TCEO) system is easy to use.

[Only use if using TCEO]


The availability of CE credit/contact hours influenced my decision to participate in this activity.








Activity Specific




Check all that apply


32.

As a result of this training, how will you change your clinical practices?

  • Increased knowledge/awareness

  • Screening/ monitoring

  • Treatment/ care plan

  • Referral/Continuity-of-care

  • Communication with patients/clients

  • Communication with other providers and caregivers

  • Other ____________________________

  • I do not anticipate changing any aspect of my clinical practice as a result of this training



33.

Please share any questions, additional comments, or suggestions for future trainings.

Comments:



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