Medical Education Resources, Inc.


Global Management of Chronic Renal Insufficiency:
Practical Issues

CME/CE Internet Program

Thank you for participating in this CME/CE Internet program. To earn CME/CE credit, please print and complete this Evaluation Form along with the Post-test and return to Medical Education Resources, Inc. via fax at 303-798-5731 or mail:

Medical Education Resources, Inc
1500 West Canal Court, Suite 500,
Littleton, Colorado 80120-5617

Post-Test ANSWER SHEET
Mark the answer that is correct for each PostTest question below: First click on the
Post-Test Questions link
and print out the questions for your reference.
Release date: December 1, 2001 Valid through: December 31, 2002

. A. B. C. D. E.F.
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For CME purposes, please complete the information requested below.

I, _________________________________________________do hereby certify that I spent ________ hours participating in this activity.

Please indicate your academic degree:

MD
PhD
RPh
RN
NP
PA

Other (Please specify ________________________________________________)


NAME (PLEASE PRINT)
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INSTITUTIONAL AFFILIATION
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PREFERRED MAILING ADDRESS
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CITY/STATE/ZIP
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TELEPHONE
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FAX
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E-MAIL F027
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A. GENERAL EVALUATION

Please rate the following aspect of the program by circling the appropriate rating
(1 being excellent and 5 being poor):

Program Format

   1   2   3   4   5  

Overall Program Content

   1   2   3   4   5  

B. CONTENT EVALUATION
Please rate the following aspects of the presentations by circling the appropriate rating
(1 being excellent, 5 being poor).

Program

Ca/Pa and Bone: Avoiding the Pitfalls in CRI
Jill S. Lindberg, MA, FACP

Content/Relevance

   1   2   3   4   5  

Knowledge of Subject

   1   2   3   4   5  

De-Mystifying Anemia Management in CRI
Daniel W. Coyne, MD

Content/Relevance

   1   2   3   4   5  

Knowledge of Subject

   1   2   3   4   5  


Objectives

The objectives for this program were clearly communicated

   1   2   3   4   5  

The presentations clearly met the learning objectives

   1   2   3   4   5  

C. WHAT OTHER EDUCATIONAL TOPICS ARE YOU INTERESTED IN ?
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D. WOULD YOU LIKE TO LEARN MORE ABOUT THIS TOPIC?      Yes       No

E. HOW WOULD YOU IMPROVE UPON THIS PROGRAM?
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In what medium do you prefer to obtain information about new therapies
(please rank 1 through 9, 1 being most preferred, 9 being least preferred)?

 
Meetings
 
Printed Monographs
 
Journals
 
Video Tapes
 
Audio Tapes
 
Teleconferences
 
Email
 
Newsletters
 
In-service Programs/
Grand Rounds

Sponsored by Medical Education Resources, Inc.
Supported by an unrestricted educational grant from Watson Pharma, Inc.