Form 5 Module Evaluation

Bench to Bedside: Integrating Sex and Gender to Improve Human Health & Sex as a Biological Variable: A Primer (OD/ORWH)

Attachment 3-Module Evaluation (5)

Bench to Bedside: Pulmonary Module-- Module evaluaion (Federal)

OMB: 0925-0768

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OMB # 0925-XXXX

Expiration Date: XX/XXXX



MODULE [COURSE] EVALUATION

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Were the following activity objectives met?

  1. After participating in this activity, the participant will demonstrate the ability to:

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

1a. Identify sex and gender differences in the presentation, risk factors, and pathophysiology of disease.

O

O

O

O

O

1b. Describe how sex and gender differences in risk factors and pathophysiology affect patient outcomes and disease management.

O

O

O

O

O

1c. Identify opportunities to address gaps in knowledge via future research efforts.

O

O

O

O

O

1d. Describe how insights from sex and gender research in one disease area can inform research design in other fields of study.


O

O

O

O

O

2. Please evaluate the overall effectiveness of the activity:

  • Extremely effective

  • Very effective

  • Moderately effective

  • Slightly effective

  • Not at all effective



3. Please tell us how this activity could be improved: _____________________

4. Will this activity include your patients’ clinical outcomes?

  • Yes

  • No

  • Not Applicable

5. Will you change your practice in any way as a result of participating in this activity?

  • Yes

    • If yes, please specify ___________________

  • No

  • Not Applicable

6. Did you observe commercial bias in the activity?

  • Yes

  • No

7. How many minutes did it take you to complete the module?

  • 0 – 30 minutes

  • 31-60 minutes

  • 61-90 minutes

  • More than 90 minutes

8. What topics would you like to see included in this or other educational activities?



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorcurriem
File Modified0000-00-00
File Created2021-01-13

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