GME Faculty Development - Web Evaluation Form

For each speaker, please circle the number on the rating scale that best expresses your opinion.

5=Strongly Agree/Excellent; 4=Agree/Good; 3=Neutral/Adequate or N/A; 2= Disagree/Poor; 1= Strongly Disagree/Very Poor

Topic/Speaker
Validation Code
The objectives and disclosure were met:

The objectives and disclosure were met: 5 4 3 2 1
The speaker was knowledgeable and responded to questions with detailed information:

The speaker was knowledgeable and responded to questions with detailed information: 5 4 3 2 1
The presentation improved my knowledge of the topic:

The presentation improved my knowledge of the topic: 5 4 3 2 1
Comments:
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Oklahoma State University Medical Center is accredited by the American Osteopathic Association to provide osteopathic continuing medical education for physicians. Oklahoma State University Medical Center designates Excellence in Clinical Teaching: Back to Basics for a maximum of five (5) AOA

Category 1-A credits. Oklahoma State University Medical Center will report CME credits for all osteopathic physicians who complete and return both an attestation form and program evaluation for all sessions attended. This activity has been planned and implemented in accordance with the accreditation requirements of the American Osteopathic Association. Oklahoma State University Medical Center designates this live activity for a maximum of five (5) Category 1-A CME credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Name Name First Last
Degree

Degree M.D. D.O.
By checking this box, you attest to the full presentation.

By checking this box, you attest to the full presentation. I have viewed the full presentation