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CME Demographic and Evaluation Form - Breaking the Cycle: Using Incretin-Based Therapies to Overcome Clinical Inertia in Type 2 Diabetes
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1. What is your profession? Check all that apply.
MD
DO
RN
RPh
  Other

2. Specialty
 

3. Faculty and Content
Clinical Inertia: Challenges in Managing Type 2 Diabetes in a Primary Care Setting
Scott V. Joy, MD, FACP
  Rating Scale: 1=Poor 2=Fair 3=Good 4=Very Good 5=Excellent
 
(A): Knowledge of subject

1     2     3     4     5    
 
(B): Presentation was orderly and understandable

1     2     3     4     5    
 
(C): Use of audiovisual and discussion were effective in helping me learn

1     2     3     4     5    

4. A Case-Based Look at Breaking the Cycle With Incretin-Based Therapies
Jack L. Leahy, MD
  Rating Scale: 1=Poor 2=Fair 3=Good 4=Very Good 5=Excellent
 
(A): Knowledge of subject

1     2     3     4     5    
 
(B): Presentation was orderly and understandable

1     2     3     4     5    
 
(C): Use of audiovisual and discussion were effective in helping me learn

1     2     3     4     5    

5. Taking It to the Next Level: Pearls to Take Back to Your Practice
R. Daniel Pollom, MD, Jack Leahy, MD, and Scott V. Joy, MD, FACP
  Rating Scale: 1=Poor 2=Fair 3=Good 4=Very Good 5=Excellent
 
(A): Knowledge of subject

1     2     3     4     5    
 
(B): Presentation was orderly and understandable

1     2     3     4     5    
 
(C): Use of audiovisual and discussion were effective in helping me learn

1     2     3     4     5    

6. LEARNING OBJECTIVES
Please evaluate how well the following learning objectives were met:
  Rating Scale: 1=Poor 2=Fair 3=Good 4=Very Good 5=Excellent
 
(A): Describe the impact of clinical inertia on the management of type 2 diabetes

1     2     3     4     5    
 
(B): List at least 3 challenges of patient self-management and 3 healthcare professional (HCP) challenges that can promote clinical inertia in patients with type 2 diabetes

1     2     3     4     5    
 
(C): Describe how the clinical course of type 2 diabetes contributes to clinical inertia

1     2     3     4     5    
 
(D): State the importance of advancing therapy when indicated in the treatment of type 2 diabetes

1     2     3     4     5    
 
(E): Compare the advantages and disadvantages of the available therapeutic options for management of patients with type 2 diabetes

1     2     3     4     5    
 
(F): Discuss the role of incretin-based therapies in the treatment of patients with type 2 diabetes

1     2     3     4     5    

7. Was all data reported objectively and with appropriate referencing?
Yes
No

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

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

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

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

12. If you answered 'No' to question 10 or 11, please explain:
 

13. What one question remains unanswered after having participated in this activity?
 

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

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

16. What are your preferred learning methods? (Check as many as applicable)
Live conferences
CD-ROM
Print materials (eg, monographs)
Internet/Web-based
Podcasts/MP3 audio
PDA/Windows Mobile®/iPhone™
  Other

17. Additional Comments:
 

18. I want to receive further information regarding Caring for Diabetes activities
Yes
No

19. CONTINUING EDUCATION CREDIT ATTESTATION
The Institute for Medical and Nursing Education (IMNE) designates this educational activity for a maximum of 1.5 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 educational activity. The actual amount of time I spent in this activity was:
 
 hours     minutes  (Not to exceed 1 hr(s) 45 mins)

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