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Evaluation Form - Antiviral Therapy for Influenza Teaching Kit


As a result of reviewing the content provided in the Teaching Kit, please complete the following questions (note: in order to receive CME credit for your participation, the following questions MUST be answered).

1. As a result of your review of the Teaching Kit materials please rate how much you where able to improve your base of knowledge

1-5 scale.   1=None   3=Somewhat   5=Significantly
  Rating Scale: 1=Poor 2=Fair 3=Good 4=Very Good 5=Excellent
 
(A):

1     2     3     4     5    

2. As a result of teaching your colleagues using the kit’s materials please rate how much you were able to improve your base of knowledge

1-5 scale.   1=None   3=Somewhat   5=Significantly
  Rating Scale: 1=Poor 2=Fair 3=Good 4=Very Good 5=Excellent
 
(A):

1     2     3     4     5    

3. Since your return from ICAAC/IDSA, please state how you have implemented the information you learned from the satellite symposium entitled Antiviral Therapy for Influenza: A Case-Based Approach for Optimal Management
 

4. Please state how the use of the Teaching Kit enhanced your knowledge and ability to provide care for your patients
 

5. Please state your opinion on whether or not the Teaching Kit was useful in enhancing your base of knowledge.
 

6. CME CREDIT ATTESTATION
The Center for Accredited Healthcare Education designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

I certify that I completed this CME activity. The actual amount of time I spent in this activity was:
 
 minutes  (Not to exceed 60 mins)

 Enter your full name