Continuing Education Proposal Packet
Activity title: |
Cancer and the WTCHP |
Activity #: |
WD2810 |
Proposed start/release date: (MM/DD/YYYY) |
3/1/2019 |
Please take a moment to give us your feedback and write your comments in the boxes provided. |
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Content and Learning Materials |
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Neither / Undecided |
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N/A |
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The content and learning materials addressed a need or a gap in my knowledge or skills. |
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The difficulty level was appropriate. |
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The length and pace of the activity was appropriate. |
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Feedback (Q&A, knowledge checks) I received during the activity was helpful. |
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Please share your comments about the content and learning materials. |
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What suggestions do you have to improve this educational activity? |
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Presentation |
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Strongly Agree |
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Neither / Undecided |
Disagree |
Strongly Disagree |
N/A |
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The content expert(s) demonstrated expertise in the subject matter. |
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The delivery method used (conference, journal article, webcast, e-learning, etc.) was appropriate for the subject matter and helped me learn the content. |
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The instructional strategies (lecture, case scenarios, figures, tables, media, etc.) helped me learn the content. |
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Learning Environment |
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The learning environment was conducive to learning. |
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Do you believe this activity was influenced by commercial interests? |
Yes |
No |
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If yes, please explain. |
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Did you experience technical difficulties with this activity? |
Yes |
No |
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If yes, please explain. |
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Knowledge, Competence, and Practice |
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Strongly Agree |
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Neither / Undecided |
Disagree |
Strongly Disagree |
N/A |
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This activity effectively met my educational needs. |
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I will be able to apply the knowledge gained from this activity to increase or maintain my competence. |
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I will be able to apply the knowledge gained from this activity to my practice. |
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I will be able to apply the knowledge/skills gained from this activity to develop strategies/provide interventions. |
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I will be able to apply the knowledge gained from this activity to improve performance. |
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I will be able to apply the knowledge gained from this activity to improve performance of the team. |
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What change or impact do you anticipate? |
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Do you anticipate barriers applying this knowledge? |
Yes No |
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If yes, please explain
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Comments: |
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Learning Objectives |
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Strongly Agree |
Agree |
Neither / Undecided |
Disagree |
Strongly Disagree |
N/A |
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I can explain why the WTCHP added cancer to the List of WTC-Related Health Conditions under the James Zadroga 9/11 Health and Compensation Act of 2010 (Zadroga Act) |
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I can recognize what cancers and screenings are covered by the WTCHP |
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I can identify the process for determining the WTC-relatedness of a disease in a patient with cancer suspected to be due to WTC exposure |
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I can analyze the healthcare status and needs of a patient with cancer suspected to be due to WTC exposure |
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The content was relevant to the learning objectives. |
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Please share your comments regarding the learning objectives. |
Comments: |
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Access |
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Strongly Agree |
Agree |
Neither / Undecided |
Disagree |
Strongly Disagree |
N/A |
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The CDC’s Training and Continuing Education Online (TCEO) system is easy to use. [Only use if using TCEO] |
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The availability of CE credit/contact hours influenced my decision to participate in this activity. |
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Activity Specific |
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Check all that apply |
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32. |
As a result of this training, how will you change your clinical practices? |
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33. |
Please share any questions, additional comments, or suggestions for future trainings. |
Comments: |
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| File Type | application/msword |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |