Example Evaluation for AARC

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Geisinger CE Program Evaluation

Completion of the activity evaluation is required for crediting and to obtain your certificate (if applicable).

Thank you for your feedback and participation as a life-long learner.

Overall Evaluation *

	Excellent	Very Good	Good	Fair	Poor
The content of this educational activity met my expectations.	The content of this educational activity met my expectations. - Excellent	The content of this educational activity met my expectations. - Very Good	The content of this educational activity met my expectations. - Good	The content of this educational activity met my expectations. - Fair	The content of this educational activity met my expectations. - Poor
Format enhanced achievement of program objectives.	Format enhanced achievement of program objectives. - Excellent	Format enhanced achievement of program objectives. - Very Good	Format enhanced achievement of program objectives. - Good	Format enhanced achievement of program objectives. - Fair	Format enhanced achievement of program objectives. - Poor
Level of material was appropriate for me.	Level of material was appropriate for me. - Excellent	Level of material was appropriate for me. - Very Good	Level of material was appropriate for me. - Good	Level of material was appropriate for me. - Fair	Level of material was appropriate for me. - Poor
There was adequate educational interactivity.	There was adequate educational interactivity. - Excellent	There was adequate educational interactivity. - Very Good	There was adequate educational interactivity. - Good	There was adequate educational interactivity. - Fair	There was adequate educational interactivity. - Poor
Information presented will be useful in my practice.	Information presented will be useful in my practice. - Excellent	Information presented will be useful in my practice. - Very Good	Information presented will be useful in my practice. - Good	Information presented will be useful in my practice. - Fair	Information presented will be useful in my practice. - Poor
Resources provided were useful.	Resources provided were useful. - Excellent	Resources provided were useful. - Very Good	Resources provided were useful. - Good	Resources provided were useful. - Fair	Resources provided were useful. - Poor
Change in my knowledge as a result of this program.	Change in my knowledge as a result of this program. - Excellent	Change in my knowledge as a result of this program. - Very Good	Change in my knowledge as a result of this program. - Good	Change in my knowledge as a result of this program. - Fair	Change in my knowledge as a result of this program. - Poor
Site was conducive to learning.	Site was conducive to learning. - Excellent	Site was conducive to learning. - Very Good	Site was conducive to learning. - Good	Site was conducive to learning. - Fair	Site was conducive to learning. - Poor

The content presented was fair, balanced, and free of commercial bias. *

Agree

Disagree

Please provide details

Include the speaker's name/topic and explain the concern.

Practice Changing Guidelines for Asthma Care: Sean Devine, MD

Presentation 1 - Attendance

Did not attend

Speaker Evaluation

Please rate the speaker.

	Excellent	Very Good	Good	Fair	Poor
Amount and depth of material	Amount and depth of material - Excellent	Amount and depth of material - Very Good	Amount and depth of material - Good	Amount and depth of material - Fair	Amount and depth of material - Poor
Relevance of topic	Relevance of topic - Excellent	Relevance of topic - Very Good	Relevance of topic - Good	Relevance of topic - Fair	Relevance of topic - Poor
Organization and effectiveness of delivery	Organization and effectiveness of delivery - Excellent	Organization and effectiveness of delivery - Very Good	Organization and effectiveness of delivery - Good	Organization and effectiveness of delivery - Fair	Organization and effectiveness of delivery - Poor

Constructive Comments for Speaker(s)

Updates in Pulmonary Function Testing: Sudheer Penupolu, MD

Presentation 2 - Attendance

Did not attend

Speaker Evaluation

Please rate the speaker.

	Excellent	Very Good	Good	Fair	Poor
Amount and depth of material	Amount and depth of material - Excellent	Amount and depth of material - Very Good	Amount and depth of material - Good	Amount and depth of material - Fair	Amount and depth of material - Poor
Relevance of topic	Relevance of topic - Excellent	Relevance of topic - Very Good	Relevance of topic - Good	Relevance of topic - Fair	Relevance of topic - Poor
Organization and effectiveness of delivery	Organization and effectiveness of delivery - Excellent	Organization and effectiveness of delivery - Very Good	Organization and effectiveness of delivery - Good	Organization and effectiveness of delivery - Fair	Organization and effectiveness of delivery - Poor

Constructive Comments for Speaker(s)

Imaging Perspectives on Pulmonary Nodules: John Debardeleben, MD

Presentation 3 - Attendance

Did not attend

Speaker Evaluation

Please rate the speaker.

	Excellent	Very Good	Good	Fair	Poor
Amount and depth of material	Amount and depth of material - Excellent	Amount and depth of material - Very Good	Amount and depth of material - Good	Amount and depth of material - Fair	Amount and depth of material - Poor
Relevance of topic	Relevance of topic - Excellent	Relevance of topic - Very Good	Relevance of topic - Good	Relevance of topic - Fair	Relevance of topic - Poor
Organization and effectiveness of delivery	Organization and effectiveness of delivery - Excellent	Organization and effectiveness of delivery - Very Good	Organization and effectiveness of delivery - Good	Organization and effectiveness of delivery - Fair	Organization and effectiveness of delivery - Poor

Constructive Comments for Speaker(s)

Opportunities for Advancing Care in Pulmonary Rehabilitation: Ronald Evans, DO & Sandra Kogut, RT

Presentation 4 - Attendance

Did not attend

Speaker Evaluation

Please rate the speaker.

	Excellent	Very Good	Good	Fair	Poor
Amount and depth of material	Amount and depth of material - Excellent	Amount and depth of material - Very Good	Amount and depth of material - Good	Amount and depth of material - Fair	Amount and depth of material - Poor
Relevance of topic	Relevance of topic - Excellent	Relevance of topic - Very Good	Relevance of topic - Good	Relevance of topic - Fair	Relevance of topic - Poor
Organization and effectiveness of delivery	Organization and effectiveness of delivery - Excellent	Organization and effectiveness of delivery - Very Good	Organization and effectiveness of delivery - Good	Organization and effectiveness of delivery - Fair	Organization and effectiveness of delivery - Poor

Constructive Comments for Speaker(s)

Palliative Care in Pulmonary Medicine: James W. Joseph, DO

Presentation 5 - Attendance

Did not attend

Speaker Evaluation

Please rate the speaker.

	Excellent	Very Good	Good	Fair	Poor
Amount and depth of material	Amount and depth of material - Excellent	Amount and depth of material - Very Good	Amount and depth of material - Good	Amount and depth of material - Fair	Amount and depth of material - Poor
Relevance of topic	Relevance of topic - Excellent	Relevance of topic - Very Good	Relevance of topic - Good	Relevance of topic - Fair	Relevance of topic - Poor
Organization and effectiveness of delivery	Organization and effectiveness of delivery - Excellent	Organization and effectiveness of delivery - Very Good	Organization and effectiveness of delivery - Good	Organization and effectiveness of delivery - Fair	Organization and effectiveness of delivery - Poor

Constructive Comments for Speaker(s)

Advanced Therapy for COPD: Non-Invasive Ventilation: Amy Raup, NP & Dimple Tejwani, MD

Presentation 6 - Attendance

Did not attend

Speaker Evaluation

Please rate the speaker.

	Excellent	Very Good	Good	Fair	Poor
Amount and depth of material	Amount and depth of material - Excellent	Amount and depth of material - Very Good	Amount and depth of material - Good	Amount and depth of material - Fair	Amount and depth of material - Poor
Relevance of topic	Relevance of topic - Excellent	Relevance of topic - Very Good	Relevance of topic - Good	Relevance of topic - Fair	Relevance of topic - Poor
Organization and effectiveness of delivery	Organization and effectiveness of delivery - Excellent	Organization and effectiveness of delivery - Very Good	Organization and effectiveness of delivery - Good	Organization and effectiveness of delivery - Fair	Organization and effectiveness of delivery - Poor

Constructive Comments for Speaker(s)

Debate: Liberal Versus Conservative Use of Steroids for Pneumonia: Sreelatha Naik, MD, Holly Schurk, MD & Dell Simmons, MD

Presentation 7 - Attendance

Did not attend

Speaker Evaluation

Please rate the speaker.

	Excellent	Very Good	Good	Fair	Poor
Amount and depth of material	Amount and depth of material - Excellent	Amount and depth of material - Very Good	Amount and depth of material - Good	Amount and depth of material - Fair	Amount and depth of material - Poor
Relevance of topic	Relevance of topic - Excellent	Relevance of topic - Very Good	Relevance of topic - Good	Relevance of topic - Fair	Relevance of topic - Poor
Organization and effectiveness of delivery	Organization and effectiveness of delivery - Excellent	Organization and effectiveness of delivery - Very Good	Organization and effectiveness of delivery - Good	Organization and effectiveness of delivery - Fair	Organization and effectiveness of delivery - Poor

Constructive Comments for Speaker(s)

Objectives

Please rate the degree to which the objective(s) were met.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
identify the state-of-the art understanding of current management strategies for the care of patients with asthma, including an understanding of current initiatives active within our institution	identify the state-of-the art understanding of current management strategies for the care of patients with asthma, including an understanding of current initiatives active within our institution - Strongly Agree	identify the state-of-the art understanding of current management strategies for the care of patients with asthma, including an understanding of current initiatives active within our institution - Agree	identify the state-of-the art understanding of current management strategies for the care of patients with asthma, including an understanding of current initiatives active within our institution - Neutral	identify the state-of-the art understanding of current management strategies for the care of patients with asthma, including an understanding of current initiatives active within our institution - Disagree	identify the state-of-the art understanding of current management strategies for the care of patients with asthma, including an understanding of current initiatives active within our institution - Strongly Disagree
review 2022 ATS/ERS interpretive strategies for lung function tests	review 2022 ATS/ERS interpretive strategies for lung function tests - Strongly Agree	review 2022 ATS/ERS interpretive strategies for lung function tests - Agree	review 2022 ATS/ERS interpretive strategies for lung function tests - Neutral	review 2022 ATS/ERS interpretive strategies for lung function tests - Disagree	review 2022 ATS/ERS interpretive strategies for lung function tests - Strongly Disagree
compare differences from 2005 ATS/ERS statement	compare differences from 2005 ATS/ERS statement - Strongly Agree	compare differences from 2005 ATS/ERS statement - Agree	compare differences from 2005 ATS/ERS statement - Neutral	compare differences from 2005 ATS/ERS statement - Disagree	compare differences from 2005 ATS/ERS statement - Strongly Disagree
discuss ATS/ERS statement regarding Race and Ethnicity in PFT interpretation	discuss ATS/ERS statement regarding Race and Ethnicity in PFT interpretation - Strongly Agree	discuss ATS/ERS statement regarding Race and Ethnicity in PFT interpretation - Agree	discuss ATS/ERS statement regarding Race and Ethnicity in PFT interpretation - Neutral	discuss ATS/ERS statement regarding Race and Ethnicity in PFT interpretation - Disagree	discuss ATS/ERS statement regarding Race and Ethnicity in PFT interpretation - Strongly Disagree
explain how radiologists and pulmonologists are faced with incidental radiographic findings of pulmonary nodules	explain how radiologists and pulmonologists are faced with incidental radiographic findings of pulmonary nodules - Strongly Agree	explain how radiologists and pulmonologists are faced with incidental radiographic findings of pulmonary nodules - Agree	explain how radiologists and pulmonologists are faced with incidental radiographic findings of pulmonary nodules - Neutral	explain how radiologists and pulmonologists are faced with incidental radiographic findings of pulmonary nodules - Disagree	explain how radiologists and pulmonologists are faced with incidental radiographic findings of pulmonary nodules - Strongly Disagree
describe how to manage findings to determine if nodule is early-stage lung cancer and requires prompt diagnosis and definitive treatment	describe how to manage findings to determine if nodule is early-stage lung cancer and requires prompt diagnosis and definitive treatment - Strongly Agree	describe how to manage findings to determine if nodule is early-stage lung cancer and requires prompt diagnosis and definitive treatment - Agree	describe how to manage findings to determine if nodule is early-stage lung cancer and requires prompt diagnosis and definitive treatment - Neutral	describe how to manage findings to determine if nodule is early-stage lung cancer and requires prompt diagnosis and definitive treatment - Disagree	describe how to manage findings to determine if nodule is early-stage lung cancer and requires prompt diagnosis and definitive treatment - Strongly Disagree
recognize the identified benefits and potential harms of steroid administration in community-acquired pneumonia	recognize the identified benefits and potential harms of steroid administration in community-acquired pneumonia - Strongly Agree	recognize the identified benefits and potential harms of steroid administration in community-acquired pneumonia - Agree	recognize the identified benefits and potential harms of steroid administration in community-acquired pneumonia - Neutral	recognize the identified benefits and potential harms of steroid administration in community-acquired pneumonia - Disagree	recognize the identified benefits and potential harms of steroid administration in community-acquired pneumonia - Strongly Disagree
identify patient groups more and less likely to benefit from steroids while recognizing the limitations of current trial data	identify patient groups more and less likely to benefit from steroids while recognizing the limitations of current trial data - Strongly Agree	identify patient groups more and less likely to benefit from steroids while recognizing the limitations of current trial data - Agree	identify patient groups more and less likely to benefit from steroids while recognizing the limitations of current trial data - Neutral	identify patient groups more and less likely to benefit from steroids while recognizing the limitations of current trial data - Disagree	identify patient groups more and less likely to benefit from steroids while recognizing the limitations of current trial data - Strongly Disagree
identify understanding of the clinical benefit of pulmonary rehabilitation in the care of chronic respiratory diseases, including an understanding of current initiatives active within our institution	identify understanding of the clinical benefit of pulmonary rehabilitation in the care of chronic respiratory diseases, including an understanding of current initiatives active within our institution - Strongly Agree	identify understanding of the clinical benefit of pulmonary rehabilitation in the care of chronic respiratory diseases, including an understanding of current initiatives active within our institution - Agree	identify understanding of the clinical benefit of pulmonary rehabilitation in the care of chronic respiratory diseases, including an understanding of current initiatives active within our institution - Neutral	identify understanding of the clinical benefit of pulmonary rehabilitation in the care of chronic respiratory diseases, including an understanding of current initiatives active within our institution - Disagree	identify understanding of the clinical benefit of pulmonary rehabilitation in the care of chronic respiratory diseases, including an understanding of current initiatives active within our institution - Strongly Disagree
discuss MyCareChoices and Palliative Care benefits for people with serious respiratory illness	discuss MyCareChoices and Palliative Care benefits for people with serious respiratory illness - Strongly Agree	discuss MyCareChoices and Palliative Care benefits for people with serious respiratory illness - Agree	discuss MyCareChoices and Palliative Care benefits for people with serious respiratory illness - Neutral	discuss MyCareChoices and Palliative Care benefits for people with serious respiratory illness - Disagree	discuss MyCareChoices and Palliative Care benefits for people with serious respiratory illness - Strongly Disagree
introduce Respecting Choices Person-Centered Communication and EPIC ACP Activity	introduce Respecting Choices Person-Centered Communication and EPIC ACP Activity - Strongly Agree	introduce Respecting Choices Person-Centered Communication and EPIC ACP Activity - Agree	introduce Respecting Choices Person-Centered Communication and EPIC ACP Activity - Neutral	introduce Respecting Choices Person-Centered Communication and EPIC ACP Activity - Disagree	introduce Respecting Choices Person-Centered Communication and EPIC ACP Activity - Strongly Disagree
discuss general principles of prognostication and specific prognostic tools for people with serious respiratory illness	discuss general principles of prognostication and specific prognostic tools for people with serious respiratory illness - Strongly Agree	discuss general principles of prognostication and specific prognostic tools for people with serious respiratory illness - Agree	discuss general principles of prognostication and specific prognostic tools for people with serious respiratory illness - Neutral	discuss general principles of prognostication and specific prognostic tools for people with serious respiratory illness - Disagree	discuss general principles of prognostication and specific prognostic tools for people with serious respiratory illness - Strongly Disagree
discuss how to treat symptoms and reduce the frequency and severity of exacerbations and improve exercise tolerance and health status for patients	discuss how to treat symptoms and reduce the frequency and severity of exacerbations and improve exercise tolerance and health status for patients - Strongly Agree	discuss how to treat symptoms and reduce the frequency and severity of exacerbations and improve exercise tolerance and health status for patients - Agree	discuss how to treat symptoms and reduce the frequency and severity of exacerbations and improve exercise tolerance and health status for patients - Neutral	discuss how to treat symptoms and reduce the frequency and severity of exacerbations and improve exercise tolerance and health status for patients - Disagree	discuss how to treat symptoms and reduce the frequency and severity of exacerbations and improve exercise tolerance and health status for patients - Strongly Disagree
explain the importance of reducing patient's respiratory effort to allow other treatments to take effect and avoid intubation	explain the importance of reducing patient's respiratory effort to allow other treatments to take effect and avoid intubation - Strongly Agree	explain the importance of reducing patient's respiratory effort to allow other treatments to take effect and avoid intubation - Agree	explain the importance of reducing patient's respiratory effort to allow other treatments to take effect and avoid intubation - Neutral	explain the importance of reducing patient's respiratory effort to allow other treatments to take effect and avoid intubation - Disagree	explain the importance of reducing patient's respiratory effort to allow other treatments to take effect and avoid intubation - Strongly Disagree

What changes will you incorporate into your practice as a result of the knowledge acquired during this activity? *

Please check all that apply.

Change my screening/prevention practice

Incorporate different diagnostic strategies into patient evaluation

Use alternative communication methodologies with patients and families

Modify treatment plans

Other, please specify:

What changes will you incorporate into your practice as a result of the knowledge acquired during this activity? Other, please specify:

How will your participation in this activity help improve the effectiveness of your healthcare team?

The best way to improve this activity is:

Suggestions for future topics:

Additional comments

ADA Request

Did you make a request for any Americans with Disabilities Act (ADA) accommodations?

Yes

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Example Evaluation for AARC