Continuing Education Proposal Packet
	
| Activity title: | Airway, Digestive, and Mental Health Comorbidities in WTC Responders and Survivors | 
| Activity #: | WD2809 | 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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					 | Strongly Agree | Agree | Neither / Undecided | Disagree | Strongly Disagree | N/A | |||||||||
|  | The content and learning materials addressed a need or a gap in my knowledge or skills. |  |  |  |  |  |  | |||||||||
|  | The difficulty level was appropriate. |  |  |  |  |  |  | |||||||||
|  | The length and pace of the activity was appropriate. |  |  |  |  |  |  | |||||||||
|  | Feedback (Q&A, knowledge checks) I received during the activity was helpful. |  |  |  |  |  |  | |||||||||
|  | Please share your comments about the content and learning materials. | Comments: | ||||||||||||||
|  | What suggestions do you have to improve this educational activity? | Comments: | ||||||||||||||
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					 Presentation | ||||||||||||||||
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					 | Strongly Agree | Agree | Neither / Undecided | Disagree | Strongly Disagree | N/A | |||||||||
|  | The content experts demonstrated expertise in the subject matter. |  |  |  |  |  |  | |||||||||
|  | The delivery method used (conference, journal article, webcast, e-learning, etc.) was appropriate for the subject matter and helped me learn the content. |  |  |  |  |  |  | |||||||||
|  | The instructional strategies (lecture, case scenarios, figures, tables, media, etc.) helped me learn the content. |  |  |  |  |  |  | |||||||||
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					 Learning Environment | ||||||||||||||||
|  | The learning environment was conducive to learning. |  |  |  |  |  |  | |||||||||
|  | Do you believe this activity was influenced by commercial interests? | Yes | No | |||||||||||||
|  | If yes, please explain. | Comments: | ||||||||||||||
|  | Did you experience technical difficulties with this activity? | Yes | No | |||||||||||||
|  | If yes, please explain. | Comments: | ||||||||||||||
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					 Knowledge, Competence, and Practice | 
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					 | Strongly Agree | Agree | 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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					 Learning Objectives | 
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 | Strongly Agree | Agree | Neither / Undecided | Disagree | Strongly Disagree | N/A | 
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|  | I can identify the groups of individuals affected by the 9/11 terrorist attack and environmental disaster and their range of exposures. |  |  |  |  |  |  | 
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|  | I can describe acute and longer-term aerodigestive and mental health impacts on populations exposed to the WTC disaster. |  |  |  |  |  |  | 
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|  | I can describe the benefits of a patient-centered, multidisciplinary program in managing 9/11 exposure-related medical and mental health comorbidities. |  |  |  |  |  |  | 
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|  | I can identify groups of individuals affected by the 9/11 terrorist attacks and describe the benefits of patient-centered care. |  |  |  |  |  |  | 
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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 |