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DEMOGRAPHIC AND EVALUATION FORM - BREAKING NEWS on INCRETIN-BASED THERAPIES Summary Conference Report
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1. What is your profession? Check all that apply.
MD
DO
RN
PA
  Other

2. Specialty
 

3. Please evaluate how well the following learning objectives were met:
  Rating Scale: 1=Poor 2=Fair 3=Good 4=Very Good 5=Excellent
 
(A): Summarize current data that describe the clinical efficacy and safety of DPP-4 inhibitors for the treatment of type 2 diabetes

1     2     3     4     5    
 
(B): Discuss current data that describe the clinical efficacy and safety of incretin mimetics for the treatment of type 2 diabetes

1     2     3     4     5    
 
(C): Discuss the appropriate clinical application of incretin-based therapies, including proper patient selection based on clinical need and current glycemic control

1     2     3     4     5    

4. Were all data evidence based and reported in an objective manner?
Yes
No

5. Was the overall content of this educational activity presented objectively and free of bias?
Yes
No

6. If you answered “No” to question 4 or 5, please explain:
 

7. Was the subject matter relevant to your clinical practice?
Yes
No

8. Was the educational format an effective learning method?
Yes
No

9. If you answered 'No' to question 7 or 8, please explain:
 

10. Cite one new piece of information learned from this activity.
 

11. What related topics would you like to have offered as future CME activities?
 

12. What are your preferred learning methods? (Check as many as applicable)
Live conferences
CD-ROM
Print materials (eg, monographs)
Internet/Web-based
  Other

13. Additional Comments:
 

14. CONTINUING EDUCATION CREDIT ATTESTATION
The Institute for Medical and Nursing Education (IMNE) designates this educational activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

IMNE designates this educational activity for 0.75 contact hours (0.075 CEUs). Accreditation by the American Nurses Credentialing Center’s (ANCC’s) Committee on Accreditation refers to recognition of educational activities and does not imply approval or endorsement of any product.

I certify that I completed this educational activity. The actual amount of time I spent in this activity was:
 
 hours     minutes  (Not to exceed 45 mins)

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