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Survey for EFD (Topic)
Thank you for recently attending the Educational Faculty Development 2018-2019 Series: ((Topic)) . We kindly ask that you complete this evaluation. Your evaluation and comments are helpful to us for planning future conferences.
In order to receive APA credit please fill in your name here:
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How would you rate this educational activity overall?
How relevant to your needs was the information presented?
How clear was the material presented?
How well were questions answered?
How well were the Learning Objectives of this activity met? At the conclusion of this program, participants should be able to:
ExcellentVery GoodGoodFairPoor
Objective 1
Objective 2
Objective 3
To what extent has your knowledge and skills improved in the following competency areas as a result of this activity?
Extreme ImprovementMuch ImprovementSome ImprovementVery Little ImprovementNo Improvement
Patient Care
Medical Knowledge
Communication Skills
Professionalism
Practice-Based Learning
Systems-Based Learning
Will your participation in this activity have an impact on your practice of medicine, leadership performance, your research, or teaching abilities?
Please explain your answer to the above question.
Speaker's name/talk title.
Very WellWellAverageDisappointingPoor
Speakers demonstrated interest and enthusiasm for teaching
Speakers communicated materials effectively
Questions were answered to your satisfaction
Comments on (speaker).
We would like to invite your ideas for future Educational Faculty Development programs and speakers. What is the top theme you would like to see addressed at a professional development program/conference for faculty, house officers and trainees?
Who would you like to see as a keynote speaker/workshop presenter at an Educational Faculty Development program?