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Lafayette Medical Education Foundation, Inc.

PROGRAM EVALUATION

“Palliative Care: Not Just End of Life Issues”

Cecilia May, MD

Internal Medicine

Clarian Arnett Health

Mindy Hoffman, NP

Palliative Care Department

SERH

September 8, 2010 – St. Elizabeth East 1F27

SA = Strongly Agree A = Agree NA = Not Applicable D = Disagree SD = Strongly Disagree

Activity Content

The program met its stated objectives below:
Learning Objectives: At the conclusion of this lecture, participants should be better able to: 1) Identify effective communication strategies and how to conduct effective patient care conferences; 2) Explore the subtleties of advance care planning; 3) Identify strategies to improve access to palliative care for patients/families in critical care settings.
1) Identify effective communication strategies and how to conduct effective patient care conferences / SA / A / NA / D / SD
Comments regarding
objective 1 met or not met:
2) Explore the subtleties of advance care planning / SA / A / NA / D / SD
Comments regarding
objective 2 met or not met:
3) Identify strategies to improve access to palliative care for patients/families in critical care settings / SA / A / NA / D / SD
▪ The program content was at appropriate level for audience: SA A NA D SD
▪ The information was substantive, timely, and useful: SA A NA D SD
▪ The content was closely related to objectives of my
clinical practice/teaching/research / SA A NA D SD
▪ Activity has helped improve upon my knowledge base in this area: SA A NA D SD
▪ The information will assist me in improving patient care: SA A NA D SD

Effectiveness of Presentation

▪ Presenter communicated clearly and effectively and setting was appropriate: / SA / A / NA / D / SD
▪ The presentation illustrated objectivity and avoided commercial bias or influence: / SA / A / NA / D / SD
▪The presentation was evidence-based and demonstrated scientific rigor: / SA / A / NA / D / SD

Having an interest or affiliation with a corporate organization does not prevent a speaker from making a presentation, but the relationship must be made known in advance to the audience, in accordance with the Standards of the Accreditation Council for Continuing Medical Education.

Dr. Cecilia May and Mindy Hoffman, NP do not have financial or other relationships with any products or corporate organizations. All additional planning committee members, Lafayette Medical Education Foundation, Inc. staff and Purdue University College of Pharmacy staff have no relationships to disclose.

Presentation Logistics

▪The physical environment/arrangement was conducive to learning / SA / A / NA / D / SD
▪There was sufficient time for questions and answers / SA / A / NA / D / SD
▪The handout materials were useful / SA / A / NA / D / SD

List two examples of new information learned today:

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2.

LMEF welcomes your CME topic suggestions: ______

Competency Questions

1.  How do you effectively conduct a patient care conference?

2.  What are some subtleties of Advance Care Planning?

3. How do we improve access to palliative care for critical care patients and their families?

To Receive your Continuing Education Credit please complete the following:

If you are an LMEF member, we already have this information. Please just put your name and signature. You may indicate any changes below.

Name / Degree:
Specialty:
Please Check / □ Family Practice □ Internal Medicine □ Medical Oncology □ Radiation Oncology
□ OB/GYN □ RNP □ Surgical □ Other
Organization:
Address: Please check
□ Work
□ Home
City, State, Zip:
Telephone/Fax: / Email:

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Attestation to time spent
on activity is required.

q I participated in the entire activity and claim 1.0 credit.

q I participated in only part of the activity and claim _____ credits.

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Signature / Date

Signature and completed evaluation are required prior to receiving Continuing Education Credits