Continuing Education Proposal Packet
Activity title: |
After the 9/11 Terrorist Attacks: The World Trade Center Health Program and Disaster Response |
Activity #: |
WD2811 |
Proposed start/release date: (MM/DD/YYYY) |
3/1/2017 |
Please take a moment to give us your feedback and write your comments in the boxes provided. |
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Content and Learning Materials |
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The content and learning materials addressed a need or a gap in my knowledge or skills. |
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The difficulty level was appropriate. |
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The length and pace of the activity was appropriate. |
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Feedback (Q&A, knowledge checks) I received during the activity was helpful. |
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Please share your comments about the content and learning materials. |
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What suggestions do you have to improve this educational activity? |
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Presentation |
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The content expert(s) demonstrated expertise in the subject matter. |
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The delivery method used (conference, journal article, webcast, e-learning, etc.) was appropriate for the subject matter and helped me learn the content. |
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The instructional strategies (lecture, case scenarios, figures, tables, media, etc.) helped me learn the content. |
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Learning Environment |
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The learning environment was conducive to learning. |
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Do you believe this activity was influenced by commercial interests? |
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No |
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If yes, please explain. |
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Did you experience technical difficulties with this activity? |
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No |
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If yes, please explain. |
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Knowledge, Competence, and Practice |
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This activity effectively met my educational needs. |
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I will be able to apply the knowledge gained from this activity to increase or maintain my competence. |
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I will be able to apply the knowledge gained from this activity to my practice. |
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I will be able to apply the knowledge/skills gained from this activity to develop strategies/provide interventions. |
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I will be able to apply the knowledge gained from this activity to improve performance. |
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I will be able to apply the knowledge gained from this activity to improve performance of the team. |
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What change or impact do you anticipate? |
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Do you anticipate barriers applying this knowledge? |
Yes No |
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If yes, please explain
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Learning Objectives |
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Neither / Undecided |
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N/A |
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I can identify patients who are eligible for care under the WTC Health Program |
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I can identify exposure-related health risks associated with environmental exposures from the WTC site |
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I can describe the lessons learned from the 9/11 disaster response |
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I can identify patients who are eligible for care under the WTC Health Program |
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The content was relevant to the learning objectives. |
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Please share your comments regarding the learning objectives. |
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Access |
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Strongly Agree |
Agree |
Neither / Undecided |
Disagree |
Strongly Disagree |
N/A |
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The CDC’s Training and Continuing Education Online (TCEO) system is easy to use. [Only use if using TCEO] |
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The availability of CE credit/contact hours influenced my decision to participate in this activity. |
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Activity Specific |
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31. |
As a result of my participation in this activity, I intend to... (Select all that apply) |
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32. |
As a result of this training, how will you change your clinical practices? (Select all that apply) |
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33. |
Please indicate any barriers that may prevent you from making changes in practice. (Select all that apply) |
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34. |
Have you visited World Trade Center Health Program training webpage of CE activities? |
Yes |
No |
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35. |
In your practice, are you aware of any patients exposed to environmental contaminants on 9/11 or in the months following? |
Yes |
No |
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36. |
What is your practice location? (Select one) |
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37. |
Were you practicing in the New York metropolitan area; Washington, DC; or Pennsylvania on September 11, 2001? |
Yes |
No |
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38. |
Have you ever: (Select all that apply) |
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39. |
Please share any questions, additional comments, or suggestions for future trainings. |
Comments: |
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File Type | application/msword |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |