11.16.22 BMFA Academic Track Evaluation

What is your occupation?

Physician

Physician Assistant

Nurse Practitioner

Nurse

Psychologist

Social Worker

Athletic Trainer

Chiropractor

Community Health Worker

Dentist

Healthcare Administrator/Manager

Medical/Health Professions Student

Occupational Therapist

Pharmacist

Physical Therapist

Physical Therapy Assistant

Podiatrist

Researcher

Resident/Fellow

Public Health Professional

Other

What is your occupation? Other

What was you interest or purpose in attending this activity?

Continuing education credits

Fulfill licensure requirements

Professional Development

Interest in topic

Learning about available resources

Meeting the needs of patient populations

New updates in diagnosis and treatment

Networking

Other

What was you interest or purpose in attending this activity? Other

Overall Conference Evaluation

	Excellent	Very Good	Good	Fair	Poor
How would you rate this educational activity overall?	How would you rate this educational activity overall? - Excellent	How would you rate this educational activity overall? - Very Good	How would you rate this educational activity overall? - Good	How would you rate this educational activity overall? - Fair	How would you rate this educational activity overall? - Poor
How relevant to your needs was the information presented?	How relevant to your needs was the information presented? - Excellent	How relevant to your needs was the information presented? - Very Good	How relevant to your needs was the information presented? - Good	How relevant to your needs was the information presented? - Fair	How relevant to your needs was the information presented? - Poor
How clear was the material presented?	How clear was the material presented? - Excellent	How clear was the material presented? - Very Good	How clear was the material presented? - Good	How clear was the material presented? - Fair	How clear was the material presented? - Poor
How well were questions answered?	How well were questions answered? - Excellent	How well were questions answered? - Very Good	How well were questions answered? - Good	How well were questions answered? - Fair	How well were questions answered? - Poor

Was the content of this activity fair, balanced, objective, and free of commercial bias?

If no, please explain.

Yes

No

Was the content of this activity fair, balanced, objective, and free of commercial bias? No

How well was the Learning Objective of this activity met overall?

At the conclusion of this program, participants should be able to:

	Extremely well	Very well	Moderately well	Slightly well	Not well at all
Identify criteria associated with specific faculty tracks	Identify criteria associated with specific faculty tracks - Extremely well	Identify criteria associated with specific faculty tracks - Very well	Identify criteria associated with specific faculty tracks - Moderately well	Identify criteria associated with specific faculty tracks - Slightly well	Identify criteria associated with specific faculty tracks - Not well at all
Apply knowledge of criteria to professional goals and responsibilities	Apply knowledge of criteria to professional goals and responsibilities - Extremely well	Apply knowledge of criteria to professional goals and responsibilities - Very well	Apply knowledge of criteria to professional goals and responsibilities - Moderately well	Apply knowledge of criteria to professional goals and responsibilities - Slightly well	Apply knowledge of criteria to professional goals and responsibilities - Not well at all
Navigate the promotion process at Brown	Navigate the promotion process at Brown - Extremely well	Navigate the promotion process at Brown - Very well	Navigate the promotion process at Brown - Moderately well	Navigate the promotion process at Brown - Slightly well	Navigate the promotion process at Brown - Not well at all

Which of the following competency areas do you feel may have been improved as a result of this activity?

	Extreme improvement	Much improvement	Somewhat improvement	Very little improvement	No improvement
Patient Care and Procedural Skills	Patient Care and Procedural Skills - Extreme improvement	Patient Care and Procedural Skills - Much improvement	Patient Care and Procedural Skills - Somewhat improvement	Patient Care and Procedural Skills - Very little improvement	Patient Care and Procedural Skills - No improvement
Medical Knowledge	Medical Knowledge - Extreme improvement	Medical Knowledge - Much improvement	Medical Knowledge - Somewhat improvement	Medical Knowledge - Very little improvement	Medical Knowledge - No improvement
Interpersonal and Communication Skills	Interpersonal and Communication Skills - Extreme improvement	Interpersonal and Communication Skills - Much improvement	Interpersonal and Communication Skills - Somewhat improvement	Interpersonal and Communication Skills - Very little improvement	Interpersonal and Communication Skills - No improvement
Professionalism	Professionalism - Extreme improvement	Professionalism - Much improvement	Professionalism - Somewhat improvement	Professionalism - Very little improvement	Professionalism - No improvement
Practice-Based Learning and Improvement	Practice-Based Learning and Improvement - Extreme improvement	Practice-Based Learning and Improvement - Much improvement	Practice-Based Learning and Improvement - Somewhat improvement	Practice-Based Learning and Improvement - Very little improvement	Practice-Based Learning and Improvement - No improvement
Systems-Based Practice	Systems-Based Practice - Extreme improvement	Systems-Based Practice - Much improvement	Systems-Based Practice - Somewhat improvement	Systems-Based Practice - Very little improvement	Systems-Based Practice - No improvement
Provide Patient-Centered Care	Provide Patient-Centered Care - Extreme improvement	Provide Patient-Centered Care - Much improvement	Provide Patient-Centered Care - Somewhat improvement	Provide Patient-Centered Care - Very little improvement	Provide Patient-Centered Care - No improvement
Work in Interdisciplinary Teams	Work in Interdisciplinary Teams - Extreme improvement	Work in Interdisciplinary Teams - Much improvement	Work in Interdisciplinary Teams - Somewhat improvement	Work in Interdisciplinary Teams - Very little improvement	Work in Interdisciplinary Teams - No improvement
Employ Evidence-Based Practice	Employ Evidence-Based Practice - Extreme improvement	Employ Evidence-Based Practice - Much improvement	Employ Evidence-Based Practice - Somewhat improvement	Employ Evidence-Based Practice - Very little improvement	Employ Evidence-Based Practice - No improvement
Apply Quality Improvement	Apply Quality Improvement - Extreme improvement	Apply Quality Improvement - Much improvement	Apply Quality Improvement - Somewhat improvement	Apply Quality Improvement - Very little improvement	Apply Quality Improvement - No improvement
Utilize Informatics	Utilize Informatics - Extreme improvement	Utilize Informatics - Much improvement	Utilize Informatics - Somewhat improvement	Utilize Informatics - Very little improvement	Utilize Informatics - No improvement
Values/Ethics for Interprofessional Practice	Values/Ethics for Interprofessional Practice - Extreme improvement	Values/Ethics for Interprofessional Practice - Much improvement	Values/Ethics for Interprofessional Practice - Somewhat improvement	Values/Ethics for Interprofessional Practice - Very little improvement	Values/Ethics for Interprofessional Practice - No improvement

Will you participation in this activity have an impact on your practice, leadership, performance, or with you research?

Yes

No

Not Sure

Please explain your response to the previous question

What is the most important thing you learned by attending this activity and how will it affect you and your practice?

How would you rate your experience with this conference?

	Extremely satisfied	Somewhat satisfied	Neither satisfied nor dissatisfied	Somewhat dissatisfied	Extremely dissatisfied
Registration Process	Registration Process - Extremely satisfied	Registration Process - Somewhat satisfied	Registration Process - Neither satisfied nor dissatisfied	Registration Process - Somewhat dissatisfied	Registration Process - Extremely dissatisfied
Meeting Venue	Meeting Venue - Extremely satisfied	Meeting Venue - Somewhat satisfied	Meeting Venue - Neither satisfied nor dissatisfied	Meeting Venue - Somewhat dissatisfied	Meeting Venue - Extremely dissatisfied
Refreshments	Refreshments - Extremely satisfied	Refreshments - Somewhat satisfied	Refreshments - Neither satisfied nor dissatisfied	Refreshments - Somewhat dissatisfied	Refreshments - Extremely dissatisfied
Conference Materials	Conference Materials - Extremely satisfied	Conference Materials - Somewhat satisfied	Conference Materials - Neither satisfied nor dissatisfied	Conference Materials - Somewhat dissatisfied	Conference Materials - Extremely dissatisfied
Meeting Format	Meeting Format - Extremely satisfied	Meeting Format - Somewhat satisfied	Meeting Format - Neither satisfied nor dissatisfied	Meeting Format - Somewhat dissatisfied	Meeting Format - Extremely dissatisfied
Scheduling	Scheduling - Extremely satisfied	Scheduling - Somewhat satisfied	Scheduling - Neither satisfied nor dissatisfied	Scheduling - Somewhat dissatisfied	Scheduling - Extremely dissatisfied

What format would you like to see included in future conferences?

What format would you like to see included in future conferences? Other

What topics would you like to see next year related to this conference?

Overall comments

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