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
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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: Other (Please specify
________________________________________________)
NAME (PLEASE PRINT) ____________________________________________________________________________________
INSTITUTIONAL
AFFILIATION ____________________________________________________________________________________
PREFERRED MAILING
ADDRESS ____________________________________________________________________________________
CITY/STATE/ZIP
____________________________________________________________________________________
TELEPHONE
____________________________________________________________________________________
FAX ____________________________________________________________________________________
E-MAIL F027
____________________________________________________________________________________
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 | |
|
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 |
| |
1 2 3 4 5 | De-Mystifying
Anemia Management in CRI Daniel W. Coyne, MD
| Content/Relevance |
1 2 3 4 5 |
| |
1 2 3 4 5 | Objectives
| The
objectives for this program were clearly communicated |
1 2 3 4 5 |
| |
1 2 3 4 5 |
C. WHAT OTHER
EDUCATIONAL TOPICS ARE YOU INTERESTED IN ?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
D. WOULD YOU
LIKE TO LEARN MORE ABOUT THIS TOPIC? Yes No
E.
HOW WOULD YOU IMPROVE UPON THIS PROGRAM? ____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
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.
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