![]() |
Anemia CME Evaluation Form |
Anemia Management: The Changing Spectrum of Care
Medical Education Resources
CME Internet Course
Introduction
Anemia Management: The Changing Spectrum of Care
CME Internet Program
Evaluation Form
Name, Degree
Thank you for participating in this CME internet program. To earn CME credit, please print and complete this Evaluation Form along with the Posttest and and return to Medical Education Resources, Inc. via fax at (303) 798-5731 or mail at 1500 West Canal Court, Suite 500, Littleton, Colorado 80120-5617.
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):1. Presenters:
C. WHAT OTHER EDUCATIONAL TOPICS ARE YOU INTERESTED IN?
Components of Anemia Therapy
Steven Fishbane, MD
Content/Relevance 1 2 3 4 5
Knowledge of Subject 1 2 3 4 5
Optimal Anemia Management: Target Hematocrit
Allen R. Nissenson, MD
Content/Relevance 1 2 3 4 5
Knowledge of Subject 1 2 3 4 5
National Patterns of Iron Utilization: An Opportunity Recognized
William F. Owen Jr., MD
Content/Relevance 1 2 3 4 5
Knowledge of Subject 1 2 3 4 5
New Advances in Iron Management
Allen R. Nissenson, MD
Content/Relevance 1 2 3 4 5
Knowledge of Subject 1 2 3 4 5
2. Objectives:
Please rate the following aspects of the presentations by circling the appropriate rating (1 being strongly agree, 5 being strongly disagree):
- 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
D. WOULD YOU LIKE TO LEARN MORE ABOUT THIS TOPIC? Yes No
E. HOW WOULD YOU IMPROVE UPON THIS PROGRAM?
F. IN WHAT MEDIUM DO YOU PREFER TO OBTAIN INFORMATION ABOUT NEW THERAPIES (PLEASE RANK 1 THROUGH 7, 1 BEING MOST PREFERRED, 7 BEING LEAST PREFERRED)?
- Printed Monographs 1 - 2 - 3 - 4 - 5 - 6 - 7
- Journals 1 - 2 - 3 - 4 - 5 - 6 - 7
- Video Tapes 1 - 2 - 3 - 4 - 5 - 6 - 7
- Audio Tapes 1 - 2 - 3 - 4 - 5 - 6 - 7
- Teleconferences 1 - 2 - 3 - 4 - 5 - 6 - 7
- In-service Programs/Grand Rounds 1 - 2 - 3 - 4 - 5 - 6 - 7
Sponsored by Medical Education Resources, Inc.
Supported by an unrestricted educational grant from Schein Pharmaceutical, Inc.