EXCERPTA MEDICA
Office of Continuing Medical Education
Self-study Program including materials from an approved satellite symposium of the 33rd Annual American Society of Nephrology entitled "Evidence-Based Treatment Directives: Correction of Anemia in Early Renal Insufficiency"
EVALUATION FORM
To receive continuing medical education credit you must complete this form and return it before the expiration date along with a check for $15 (payable to Excerpta Medica Office of CME) and the completed post-test to:
Excerpta Medica
Office of Continuing Medical Education
Attn: Steven Weinman
105 Raider Boulevard
Hillsborough, New Jersey, 08844
(908)281-3658, Fax (908) 874-5633
Release date: March 18, 2001
Expiration date: March 18, 2002
Name: Degree: Affiliation: Street: City / State / Zip Code: Social Security Number: Signature: Phone Number: Fax Number: Email address:
Learning Objectives
Please rate how well the learning objectives were met in the following topic areas. (1 = not well; 5 = very well)
Learning objective: . . . . . Were the prevalence of early renal insufficiency (ERI) and the factors involved in its increase discussed? 1 2 3 4 5 Was the association between ERI and anemia and the population at risk for developing renal anemia detailed? 1 2 3 4 5 Were potential complications associated with ERI, including some of the deleterious effects of anemia such as impaired cardiac function, diminished exercise capacity, and reduced quality of life outlined? 1 2 3 4 5 Were the current barriers to ERI management assessed? 1 2 3 4 5 Was a multidisciplinary team approach to identifying, educating, and treating patients with ERI outlined? 1 2 3 4 5 Were appropriate outcome measures for ERI monitoring detailed? 1 2 3 4 5 Were the goals of ERI management and the components needed for optimal ERI care delineated? 1 2 3 4 5 Did you find the information presented to be fair, objective, and balanced? 1 2 3 4 5 Were the topics useful and applicable to your work setting? 1 2 3 4 5
Speakers & Panel
Excellent Very Good Average Fair Poor Carla Cerami, MD, PhD . Content relevant to my practice 5 4 3 2 1 Presentation 5 4 3 2 1 Learning Goals and Objectives 5 4 3 2 1 Allan J. Collins, MD . Content relevant to my practice 5 4 3 2 1 Presentation 5 4 3 2 1 Learning Goals and Objectives 5 4 3 2 1 William M. McClellan, MD, MPH . Content 5 4 3 2 1 Presentation 5 4 3 2 1 Learning Goals and Objectives 5 4 3 2 1 Patrick S. Parfrey, MD . Content 5 4 3 2 1 Presentation 5 4 3 2 1 Learning Goals and Objectives 5 4 3 2 1 William F. Owen, Jr, MD . Content 5 4 3 2 1 Presentation 5 4 3 2 1 Learning Goals and Objectives 5 4 3 2 1
Overall Rating Excellent Very Good Average Fair Poor Potential impact on my practice 5 4 3 2 1 This activity will help me improve my professional effectiveness 5 4 3 2 1 Overall this activity met my expectations 5 4 3 2 1 Using this Medium Compared with other web-based educational activities, this activity is 5 4 3 2 1 Rate the ease of accessing this activity 5 4 3 2 1 rate the ease of completing this activity 5 4 3 2 1
What suggestions, if any, would you make to improve this symposium?
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What issues would you like to see addressed in future symposia?
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Go to Post-test link