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CME Demographic and Evalution Form - Found in Translation: Insulin Therapy and Glycemic Pattern Recognition in Clinical Practice

1. What is your profession? Check all that apply.
MD
DO
RN
NP
PA
CDE
  Other

2. Faculty and Content
General Principles of Insulin Therapy and SMBG Pattern Recognition
Sam Dagogo-Jack, MD, FRCP
  Rating Scale: 5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor
 
Faculty exhibited expertise in the subject matter

5     4     3     2     1    
 
Presentation was clear and well-organized

5     4     3     2     1    
 
Data reported in the presentation was properly referenced

5     4     3     2     1    
 
Information presented will promote the practice of evidence-based medicine

5     4     3     2     1    
 
The overall content of this presentation was objective and free of bias

5     4     3     2     1    

3. Faculty and Content
Fasting Hyperglycemia and Basal Insulin Initiation
John E Anderson, MD
  Rating Scale: 5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor
 
Faculty exhibited expertise in the subject matter

5     4     3     2     1    
 
Presentation was clear and well-organized

5     4     3     2     1    
 
Data reported in the presentation was properly referenced

5     4     3     2     1    
 
Information presented will promote the practice of evidence-based medicine

5     4     3     2     1    
 
The overall content of this presentation was objective and free of bias

5     4     3     2     1    

4. Faculty and Content
Postprandial Hyperglycemia and Prandial (Bolus) Insulin Initiation
Javier Morales, MD
  Rating Scale: 5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor
 
Faculty exhibited expertise in the subject matter

5     4     3     2     1    
 
Presentation was clear and well-organized

5     4     3     2     1    
 
Data reported in the presentation was properly referenced

5     4     3     2     1    
 
Information presented will promote the practice of evidence-based medicine

5     4     3     2     1    
 
The overall content of this presentation was objective and free of bias

5     4     3     2     1    

5. Faculty and Content
Nocturnal Hypoglycemia: Prevention and Treatment
Geralyn Spollett, MSN, ANP-CS, CDE
  Rating Scale: 5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor
 
Faculty exhibited expertise in the subject matter

5     4     3     2     1    
 
Presentation was clear and well-organized

5     4     3     2     1    
 
Data reported in the presentation was properly referenced

5     4     3     2     1    
 
Information presented will promote the practice of evidence-based medicine

5     4     3     2     1    
 
The overall content of this presentation was objective and free of bias

5     4     3     2     1    

6. LEARNING OBJECTIVES
Please evaluate how well the following learning objectives were met.
At the end of this activity, participants should be able to:
  Rating Scale: 5=Excellent 4=Very Good 3=Good 2=Fair 1=Poor
 
Interpret SMBG data presented in different formats

5     4     3     2     1    
 
Summarize clinical trial evidence supporting stepwise insulin intensification in T2DM

5     4     3     2     1    
 
Explain how to adjust and manage glycemic patterns by ensuring good injection technique and changing the insulin type, insulin dose, and timing of meals and exercise relative to insulin doses

5     4     3     2     1    
 
Describe recent advances in insulin therapy and their implications for clinical practice

5     4     3     2     1    

7. Please answer the following questions by selecting the appropriate rating:

Rating Scale: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree
  Rating Scale: 1=Poor 2=Fair 3=Good 4=Very Good 5=Excellent
 
This activity included opportunities to learn interactively

5     4     3     2     1    
 
The educational content was useful and relevant to my practice

5     4     3     2     1    
 
The educational format was effective

5     4     3     2     1    
 
The format of this educational activity enhanced my learning

5     4     3     2     1    
 
This activity will help me to improve my skills and/or clinical decision making within the next 6 months

5     4     3     2     1    
 
After participating in this activity, I feel more confident treating patients within my practice

5     4     3     2     1    

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

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

10. What changes, if any, would you recommend to improve future activities similar to this one?
 

11. What topics related to diabetes would you like to see offered in future continuing education activities?
 

12. When do you prefer to learn about new treatment options? (check your top 3 choices)
After incorporation into clinical guidelines
As they become available to patients
After FDA approval
After phase 3 clinical trials
After phase 2 trials
After phase 1 trials

13. Which are your preferred sources of information regarding new treatment options? (check your top 3 choices)
CME/CE activities
Peer-reviewed journal articles
Colleagues
Prescribing information/package insert
Clinical guidelines
Conference abstracts, posters

14. What are your preferred learning methods for a CME/CE activity? (check as many as applicable)
Live conferences
Printed materials (eg. monographs)
Podcasts/MP3 audio
CD-ROM
Internet/Web-based
PDA/Windows Mobile®/iPhone®
  Other

15. Did the information presented in this activity cause you to consider making any changes in your practice?
Yes
No

16. If you answered 'Yes' to the previous question, please describe one thing you plan to change in your practice as a result of this activity:
 

17. To assess impact on clinical behavior, outcomes surveys are conducted at 3 months following and 1 year following the educational activities. Surveys are issued to a random sampling of activity participants. We appreciate your feedback to these surveys, as it assists us in identifying and meeting additional educational needs. May we contact you to follow up with the question above?
Yes
No

18. CME CREDIT ATTESTATION
The Institute for Medical and Nursing Education, Inc. (IMNE) designates this educational activity for a maximum of 2.5 AMA PRA Category 1 Credit(s). Physicians should only claim credit commensurate with the extent of their participation in the activity.

This Enduring Material activity, Found in Translation: Insulin Therapy and Glycemic Pattern Recognition in Clinical Practice, has been reviewed and is acceptable for up to 2.50 Prescribed credits by the American Academy of Family Physicians.

I certify that I completed this CME activity. The actual amount of time I spent in this activity was:
 
 hours     minutes  (Not to exceed 2 hr(s) 30 mins)

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