Please rate the degree to which the following enhanced your learning experience: *

	Low	Below Average	Average	Above Average	High
Faculty: Kamyar Afshar, DO	Faculty: Kamyar Afshar, DO - Low	Faculty: Kamyar Afshar, DO - Below Average	Faculty: Kamyar Afshar, DO - Average	Faculty: Kamyar Afshar, DO - Above Average	Faculty: Kamyar Afshar, DO - High
Faculty: Alpesh Amin, MD	Faculty: Alpesh Amin, MD - Low	Faculty: Alpesh Amin, MD - Below Average	Faculty: Alpesh Amin, MD - Average	Faculty: Alpesh Amin, MD - Above Average	Faculty: Alpesh Amin, MD - High
Faculty: Henri Colt, MD, FCCP, FAWM	Faculty: Henri Colt, MD, FCCP, FAWM - Low	Faculty: Henri Colt, MD, FCCP, FAWM - Below Average	Faculty: Henri Colt, MD, FCCP, FAWM - Average	Faculty: Henri Colt, MD, FCCP, FAWM - Above Average	Faculty: Henri Colt, MD, FCCP, FAWM - High
Faculty: Mohsen Davoudi, MD, FCCP	Faculty: Mohsen Davoudi, MD, FCCP - Low	Faculty: Mohsen Davoudi, MD, FCCP - Below Average	Faculty: Mohsen Davoudi, MD, FCCP - Average	Faculty: Mohsen Davoudi, MD, FCCP - Above Average	Faculty: Mohsen Davoudi, MD, FCCP - High
Faculty: Henry Masur, MD	Faculty: Henry Masur, MD - Low	Faculty: Henry Masur, MD - Below Average	Faculty: Henry Masur, MD - Average	Faculty: Henry Masur, MD - Above Average	Faculty: Henry Masur, MD - High
Faculty: Paul Nyquist, MD, MPH	Faculty: Paul Nyquist, MD, MPH - Low	Faculty: Paul Nyquist, MD, MPH - Below Average	Faculty: Paul Nyquist, MD, MPH - Average	Faculty: Paul Nyquist, MD, MPH - Above Average	Faculty: Paul Nyquist, MD, MPH - High
Faculty: David Riker, MD, FCCP	Faculty: David Riker, MD, FCCP - Low	Faculty: David Riker, MD, FCCP - Below Average	Faculty: David Riker, MD, FCCP - Average	Faculty: David Riker, MD, FCCP - Above Average	Faculty: David Riker, MD, FCCP - High
Format	Format - Low	Format - Below Average	Format - Average	Format - Above Average	Format - High
Program materials	Program materials - Low	Program materials - Below Average	Program materials - Average	Program materials - Above Average	Program materials - High
Level of interaction	Level of interaction - Low	Level of interaction - Below Average	Level of interaction - Average	Level of interaction - Above Average	Level of interaction - High

As a result of participating in this activity, I am better able to: *

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Describe the epidemiology, available interventions, and updates in ischemic stroke	Describe the epidemiology, available interventions, and updates in ischemic stroke - Strongly Disagree	Describe the epidemiology, available interventions, and updates in ischemic stroke - Disagree	Describe the epidemiology, available interventions, and updates in ischemic stroke - Neutral	Describe the epidemiology, available interventions, and updates in ischemic stroke - Agree	Describe the epidemiology, available interventions, and updates in ischemic stroke - Strongly Agree
Discuss interventional pulmonology procedures used in respiratory therapy, ultrasonography, pleural disease and bronchoscopy	Discuss interventional pulmonology procedures used in respiratory therapy, ultrasonography, pleural disease and bronchoscopy - Strongly Disagree	Discuss interventional pulmonology procedures used in respiratory therapy, ultrasonography, pleural disease and bronchoscopy - Disagree	Discuss interventional pulmonology procedures used in respiratory therapy, ultrasonography, pleural disease and bronchoscopy - Neutral	Discuss interventional pulmonology procedures used in respiratory therapy, ultrasonography, pleural disease and bronchoscopy - Agree	Discuss interventional pulmonology procedures used in respiratory therapy, ultrasonography, pleural disease and bronchoscopy - Strongly Agree
Discuss the philosophies behind humanitarian aid and humanitarian morals	Discuss the philosophies behind humanitarian aid and humanitarian morals - Strongly Disagree	Discuss the philosophies behind humanitarian aid and humanitarian morals - Disagree	Discuss the philosophies behind humanitarian aid and humanitarian morals - Neutral	Discuss the philosophies behind humanitarian aid and humanitarian morals - Agree	Discuss the philosophies behind humanitarian aid and humanitarian morals - Strongly Agree
Collaborate with physicians, nurses, pharmacists, and other members of the patient care team to provide optimal care to patients receiving treatment in the intensive care unit	Collaborate with physicians, nurses, pharmacists, and other members of the patient care team to provide optimal care to patients receiving treatment in the intensive care unit - Strongly Disagree	Collaborate with physicians, nurses, pharmacists, and other members of the patient care team to provide optimal care to patients receiving treatment in the intensive care unit - Disagree	Collaborate with physicians, nurses, pharmacists, and other members of the patient care team to provide optimal care to patients receiving treatment in the intensive care unit - Neutral	Collaborate with physicians, nurses, pharmacists, and other members of the patient care team to provide optimal care to patients receiving treatment in the intensive care unit - Agree	Collaborate with physicians, nurses, pharmacists, and other members of the patient care team to provide optimal care to patients receiving treatment in the intensive care unit - Strongly Agree

Please rate your level of agreement with the following statements *

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
This activity met my educational needs, expectations, and objectives	This activity met my educational needs, expectations, and objectives - Strongly Disagree	This activity met my educational needs, expectations, and objectives - Disagree	This activity met my educational needs, expectations, and objectives - Neutral	This activity met my educational needs, expectations, and objectives - Agree	This activity met my educational needs, expectations, and objectives - Strongly Agree
This activity was relevant to my practice	This activity was relevant to my practice - Strongly Disagree	This activity was relevant to my practice - Disagree	This activity was relevant to my practice - Neutral	This activity was relevant to my practice - Agree	This activity was relevant to my practice - Strongly Agree
I feel confident treating patients in my practice based on this activity	I feel confident treating patients in my practice based on this activity - Strongly Disagree	I feel confident treating patients in my practice based on this activity - Disagree	I feel confident treating patients in my practice based on this activity - Neutral	I feel confident treating patients in my practice based on this activity - Agree	I feel confident treating patients in my practice based on this activity - Strongly Agree
This activity rates highly in comparison with other CME activities in which I have participated in the last 12 months	This activity rates highly in comparison with other CME activities in which I have participated in the last 12 months - Strongly Disagree	This activity rates highly in comparison with other CME activities in which I have participated in the last 12 months - Disagree	This activity rates highly in comparison with other CME activities in which I have participated in the last 12 months - Neutral	This activity rates highly in comparison with other CME activities in which I have participated in the last 12 months - Agree	This activity rates highly in comparison with other CME activities in which I have participated in the last 12 months - Strongly Agree
There is a continuing need for education on this topic	There is a continuing need for education on this topic - Strongly Disagree	There is a continuing need for education on this topic - Disagree	There is a continuing need for education on this topic - Neutral	There is a continuing need for education on this topic - Agree	There is a continuing need for education on this topic - Strongly Agree
The presentation was scientifically sound and free of commercial bias or influence	The presentation was scientifically sound and free of commercial bias or influence - Strongly Disagree	The presentation was scientifically sound and free of commercial bias or influence - Disagree	The presentation was scientifically sound and free of commercial bias or influence - Neutral	The presentation was scientifically sound and free of commercial bias or influence - Agree	The presentation was scientifically sound and free of commercial bias or influence - Strongly Agree

If you thought the presentations were commercially biased, please explain:

For you, was the educational level of this activity: *

Too Basic

Appropriate

Too Advanced

Of all of the patients that you see per month, how many are likely to be impacted by the information that you acquired in this CE/CME activity? (example: 50) *

Based upon your participation in this activity: *

I gained new strategies/skills/information that I can apply to my area of practice.

I plan to implement new strategies/skills/information into my practice.

I need more information before I can implement new strategies/skills/information into my practice behavior.

This activity will not change my practice as my current practice is consistent with the information presented.

This activity will not change my practice as I do not agree with the information presented.

This is not within the scope of my practice.

What, if any, additional changes do you plan to implement into your practice?

My confidence level in being able to implement these changes is: *

Very confident

Somewhat confident

Uncertain

Little confidence

No confidence

Not applicable

If you consider a change in practice, please check any barriers to overcome before initiating that change: *

Organizational constraints

Formulary issues

Patient reluctance to change

Patient nonadherence

Insufficient time

Financial/Insurance

Do not know enough about the recommendations to change yet

What still remains unanswered for you?

How did you hear about the Critical Care Conference? *

Brochure

Email

Colleague

Poster

Other

How did you hear about the Critical Care Conference? Other

Additional comments

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