Educational Series- Health Care Professionals

TEACHING EVALUATION

YOUR NAME (please print): / DEGREE / JOB TITLE:
TODAY’S DATE 3/7/13 / ARIZONA TELEMEDICINE PROGRAM SITE AFFILIATION:

STATUS: STUDENT £ FELLOW £ FACULTY £ HOUSE OFFICER £ OTHER £

PROGRAM TITLE: Caring for Caregivers & Health Care Professionals / SPEAKER: Marianne Schloss, RN, M. Div
STRONGLY DISAGREE / DISAGREE / NO
OPINION / AGREE / STRONGLY
AGREE
This topic is of interest to me / 1 / 2 / 3 / 4 / 5
This topic is relevant to my practice and will ultimately improve patient care / 1 / 2 / 3 / 4 / 5
I learned new information / 1 / 2 / 3 / 4 / 5
The teaching techniques were conducive to learning / 1 / 2 / 3 / 4 / 5
The speaker was prepared and informative / 1 / 2 / 3 / 4 / 5
The educational objectives were met / 1 / 2 / 3 / 4 / 5
I would not have been able to attend a lecture on this topic if it had not been available via the ATP / 1 / 2 / 3 / 4 / 5

What other topics would you like to see addressed?

Did you feel there was a bias toward any particular product or company? Yes____ NO _____

If yes, please explain:

COMMENTS:

Please fax the completed form to 520-626-5583 Bettina Hofacre phone 5250 626-3265

Or e-mail to: