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| Name *
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| E-mail Address *
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| [Overall] 1. Discuss selected clinical practice topics |
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| [Overall] 2. Network with other healthcare professionals |
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| [Overall] 3. Explore diverse professional issues |
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| [Overall] 4. The individual objectives related to the overall purpose/goals of the activity |
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| [Overall] 5. Promotional information provided adequate information. |
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| [Overall] 6. Facility provided for environmental comfort and accessibility. |
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| [Overall] 7. Registration process was efficient. |
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| [Overall] 8. Scheduling of the activity met my need. |
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| [Overall] 9. Meals and breaks |
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| [Overall] General conference comments |
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| [Overall] Suggestions for future topics |
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| [Preconf1-Derm Procedures] Session attendance (3 contact hours) |
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| [Preconf1-Derm Procedures] 1. Discuss the protocol utilized in the following procedures: analgesia, punch biopsy, shave excision, elliptical excision of skin lesions, simple interrupted suture, removal of achrochordons, and cryosurgery. |
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| [Preconf1-Derm Procedures] 2. Discuss various dermatologic lesions and which procedure would best suit that particular lesion. |
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| [Preconf1-Derm Procedures] 3. Use concepts presented to practice these techniques. |
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| [Preconf1-Derm Procedures] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Preconf1-Derm Procedures] 5. Speaker's knowledge of subject |
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| [Preconf1-Derm Procedures] 6. Speaker's organization and clarity of content |
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| [Preconf1-Derm Procedures] 7. Effectiveness of speaker's teaching methods |
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| [Preconf1-Derm Procedures] Session comments |
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| [Preconf2-Arthritis] Session attendance (3 contact hours) |
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| [Preconf2-Arthritis] 1. Differentiate between the symptoms of osteoarthritis and rheumatoid arthritis. |
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| [Preconf2-Arthritis] 2. Discuss the available therapies for osteoarthritis and rheumatoid arthritis. |
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| [Preconf2-Arthritis] 3. Demonstrate physical exam techniques for osteoarthritis and rheumatoid arthritis, and differentiate between the physical findings of each. |
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| [Preconf2-Arthritis] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Preconf2-Arthritis] 5. Speaker's knowledge of subject |
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| [Preconf2-Arthritis] 6. Speaker's organization and clarity of content |
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| [Preconf2-Arthritis] 7. Effectiveness of speaker's teaching methods |
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| [Preconf2-Arthritis] Session comments |
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| [General1-Living in Balance] Session attendance (1.2 contact hour) |
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| [General1-Living in Balance] 1. Identify two lifestyle interventions that have been shown to reduce the risk of heart disease. |
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| [General1-Living in Balance] 2. Identify three lifestyle or nutritional interventions that have been shown to reduce the risk of certain cancers. |
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| [General1-Living in Balance] 3. Discuss the use of mind-body practices that have been shown to reduce anxiety, risk of heart attack recurrance and cancer treatment related symptoms. |
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| [General1-Living in Balance] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [General1-Living in Balance] 5. Speaker's knowledge of subject |
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| [General1-Living in Balance] 6. Speaker's organization and clarity of content |
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| [General1-Living in Balance] 7. Effectiveness of speaker's teaching methods |
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| [General1-Living in Balance] Session comments |
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| [General2-Contracts] Session attendance (1.2 contact hour) |
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| [General2-Contracts] 1. Discuss the process involved in negotiating a practice agreement or contract. |
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| [General2-Contracts] 2. Discuss pros and cons of a no-compete clause. |
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| [General2-Contracts] 3. Identify the recommended salary based on location, practice, and years of experience. |
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| [General2-Contracts] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [General2-Contracts] 5. Speaker's knowledge of subject |
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| [General2-Contracts] 6. Speaker's organization and clarity of content |
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| [General2-Contracts] 7. Effectiveness of speaker's teaching methods |
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| [General2-Contracts] Session comments |
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| [Concurrent1A-Pain Mgmt] Session attendance (1.2 contact hour) |
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| [Concurrent1A-Pain Mgmt] 1. Discuss the evaluation of patients with chronic non-cancer pain. |
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| [Concurrent1A-Pain Mgmt] 2. Describe opioid and non-opioid pharmacologic therapies. |
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| [Concurrent1A-Pain Mgmt] 3. Define circumstances which warrant an urgent pain clinic referral. |
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| [Concurrent1A-Pain Mgmt] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent1A-Pain Mgmt] 5. Speaker's knowledge of subject |
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| [Concurrent1A-Pain Mgmt] 6. Speaker's organization and clarity of content |
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| [Concurrent1A-Pain Mgmt] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent1A-Pain Mgmt] Session comments |
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| [Concurrent1B-Limping Child] Session attendance (1.2 contact hour) |
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| [Concurrent1B-Limping Child] 1. Discuss common limping disorders for toddlers, school age children, and adolescents. |
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| [Concurrent1B-Limping Child] 2. Describe gait analysis and physical exam techniques. |
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| [Concurrent1B-Limping Child] 3. Discuss the differential diagnosis of pathologic vs physiologic limping. |
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| [Concurrent1B-Limping Child] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent1B-Limping Child] 5. Speaker's knowledge of subject |
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| [Concurrent1B-Limping Child] 6. Speaker's organization and clarity of content |
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| [Concurrent1B-Limping Child] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent1B-Limping Child] Session comments |
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| [Concurrent1C-Herbal Tx in Women’s Health] Session attendance (1.2 contact hour) |
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| [Concurrent1C-Herbal Tx in Women’s Health] 1. Discuss the safety and benefits of omega-3 fatty acids, raspberry leaf and ginger during pregnancy |
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| [Concurrent1C-Herbal Tx in Women’s Health] 2. Discuss the safety and benefits of two herbal lactogogues. |
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| [Concurrent1C-Herbal Tx in Women’s Health] 3. Discuss the use of three common dietary supplements used by women for premenstrual syndrome and menopause related symptoms. |
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| [Concurrent1C-Herbal Tx in Women’s Health] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent1C-Herbal Tx in Women’s Health] 5. Speaker's knowledge of subject |
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| [Concurrent1C-Herbal Tx in Women’s Health] 6. Speaker's organization and clarity of content |
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| [Concurrent1C-Herbal Tx in Women’s Health] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent1C-Herbal Tx in Women’s Health] Session comments |
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| [Concurrent2A-Comp Tx in Mental Health] Session attendance (1.2 contact hour) |
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| [Concurrent2A-Comp Tx in Mental Health] 1. Discuss the evidence for use of mind-body practices in the treatment of anxiety disorders. |
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| [Concurrent2A-Comp Tx in Mental Health] 2. Discuss the safety and benefit of dietary supplements commonly used for treatment of mild-to-moderate depression. |
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| [Concurrent2A-Comp Tx in Mental Health] 3. Identify resources for rigorous, evidence-based information regarding complementary and alternative medicine. |
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| [Concurrent2A-Comp Tx in Mental Health] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent2A-Comp Tx in Mental Health] 5. Speaker's knowledge of subject |
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| [Concurrent2A-Comp Tx in Mental Health] 6. Speaker's organization and clarity of content |
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| [Concurrent2A-Comp Tx in Mental Health] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent2A-Comp Tx in Mental Health] Session comments |
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| [Concurrent2B-Nutrition Therapy in DM] Session attendance (1.2 contact hour) |
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| [Concurrent2B-Nutrition Therapy in DM] 1. Understand the importance of Medical Nutrition Therapy in the role of preventing and treating Diabetes Mellitus, Type 2. |
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| [Concurrent2B-Nutrition Therapy in DM] 2. Demonstrate knowledge of the basics of medical nutrition therapy |
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| [Concurrent2B-Nutrition Therapy in DM] 3. Identify effective patient teaching tools available for instruction in nutrition. |
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| [Concurrent2B-Nutrition Therapy in DM] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent2B-Nutrition Therapy in DM] 5. Speaker's knowledge of subject |
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| [Concurrent2B-Nutrition Therapy in DM] 6. Speaker's organization and clarity of content |
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| [Concurrent2B-Nutrition Therapy in DM] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent2B-Nutrition Therapy in DM] Session comments |
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| [Concurrent2C-Childhood Obesity & Pulmonary Health] Session attendance (1.2 contact hour) |
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| [Concurrent2C-Childhood Obesity & Pulmonary Health] 1. Understand the functional consequences of childhood obesity. |
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| [Concurrent2C-Childhood Obesity & Pulmonary Health] 2. Appreciate the consequences of childhood obesity. |
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| [Concurrent2C-Childhood Obesity & Pulmonary Health] 3. Discuss the health consequences facing society as a result of the obesity epidemic. |
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| [Concurrent2C-Childhood Obesity & Pulmonary Health] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent2C-Childhood Obesity & Pulmonary Health] 5. Speaker's knowledge of subject |
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| [Concurrent2C-Childhood Obesity & Pulmonary Health] 6. Speaker's organization and clarity of content |
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| [Concurrent2C-Childhood Obesity & Pulmonary Health] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent2C-Childhood Obesity & Pulmonary Health] Session comments |
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| [Concurrent3A-CAD in Women] Session attendance (1.2 contact hour) |
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| [Concurrent3A-CAD in Women] 1. Discuss the statistics related to heart disease in women. |
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| [Concurrent3A-CAD in Women] 2. Review the differences in laboratory parameters between women and men. |
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| [Concurrent3A-CAD in Women] 3. Identify various treatment options to lower or modify the risk of CHD in women. |
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| [Concurrent3A-CAD in Women] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent3A-CAD in Women] 5. Speaker's knowledge of subject |
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| [Concurrent3A-CAD in Women] 6. Speaker's organization and clarity of content |
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| [Concurrent3A-CAD in Women] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent3A-CAD in Women] Session comments |
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| [Concurrent3B-Chronic Kidney Disease] Session attendance (1.2 contact hour) |
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| [Concurrent3B-Chronic Kidney Disease] 1. Define chronic kidney disease. |
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| [Concurrent3B-Chronic Kidney Disease] 2. Discuss the impact of chronic kidney disease on patient outcomes |
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| [Concurrent3B-Chronic Kidney Disease] 3. Review strategies for management of chronic kidney disease |
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| [Concurrent3B-Chronic Kidney Disease] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent3B-Chronic Kidney Disease] 5. Speaker's knowledge of subject |
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| [Concurrent3B-Chronic Kidney Disease] 6. Speaker's organization and clarity of content |
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| [Concurrent3B-Chronic Kidney Disease] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent3B-Chronic Kidney Disease] Session comments |
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| [Concurrent3C-Neuromuscular Disorders] Session attendance (1.2 contact hour) |
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| [Concurrent3C-Neuromuscular Disorders] 1. Discuss neuromuscular disorders as a spectrum of conditions which occur in pediatrics. |
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| [Concurrent3C-Neuromuscular Disorders] 2. Differentiate between the presentation of muscle, nerve, and central nervous system conditions. |
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| [Concurrent3C-Neuromuscular Disorders] 3. Recognize varying presentations of neuromuscular conditions at various ages and developmental stages in pediatrics. |
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| [Concurrent3C-Neuromuscular Disorders] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent3C-Neuromuscular Disorders] 5. Speaker's knowledge of subject |
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| [Concurrent3C-Neuromuscular Disorders] 6. Speaker's organization and clarity of content |
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| [Concurrent3C-Neuromuscular Disorders] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent3C-Neuromuscular Disorders] Session comments |
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| [Poster Presentations] Session attendance (1.2 contact hour) |
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| [Poster Presentations] 1. Discuss selected clinical research topics |
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| [Poster Presentations] 2. Apply pertinent research findings to my personal clinical practice |
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| [Poster Presentations] 3. Identify potential future nursing research topics |
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| [Poster Presentations] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Poster Presentations] 5. The poster presentations were visually appealing and easy to follow |
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| [Poster Presentations] 6. Topics were timely and relevant to advanced practice nursing |
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| [Poster Presentations] 7. Conclusions are stated clearly |
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| [Poster Presentations] Session comments |
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| [Concurrent4A-Vomiting in Children] Session attendance (1.2 contact hour) |
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| [Concurrent4A-Vomiting in Children] 1. Define appropriate assessment strategies to use with the vomiting child. |
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| [Concurrent4A-Vomiting in Children] 2. Identify three “red flags” in the evaluation of the vomiting child. |
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| [Concurrent4A-Vomiting in Children] 3. Describe treatment options for children with reflux, milk protein allergy, or more acute vomiting episodes, and when to refer to a specialist. |
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| [Concurrent4A-Vomiting in Children] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent4A-Vomiting in Children] 5. Speaker's knowledge of subject |
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| [Concurrent4A-Vomiting in Children] 6. Speaker's organization and clarity of content |
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| [Concurrent4A-Vomiting in Children] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent4A-Vomiting in Children] Session comments |
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| [Concurrent4B-MRSA] Session attendance (1.2 contact hour) |
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| [Concurrent4B-MRSA] 1. Discuss current trends in MRSA: community acquired vs healthcare acquired. |
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| [Concurrent4B-MRSA] 2. Discuss treatment options for MRSA |
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| [Concurrent4B-MRSA] 3. Review isolation issues and transmission concerns. |
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| [Concurrent4B-MRSA] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent4B-MRSA] 5. Speaker's knowledge of subject |
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| [Concurrent4B-MRSA] 6. Speaker's organization and clarity of content |
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| [Concurrent4B-MRSA] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent4B-MRSA] Session comments |
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| [Concurrent4C-Interpersonal Violence] Session attendance (1.2 contact hour) |
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| [Concurrent4C-Interpersonal Violence] 1. Identify strategies to assess for risk of interpersonal violence. |
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| [Concurrent4C-Interpersonal Violence] 2. Discuss possible legal avenues for obtaining protection. |
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| [Concurrent4C-Interpersonal Violence] 3. Explore interventions to assist victims of interpersonal violence in planning for safety. |
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| [Concurrent4C-Interpersonal Violence] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent4C-Interpersonal Violence] 5. Speaker's knowledge of subject |
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| [Concurrent4C-Interpersonal Violence] 6. Speaker's organization and clarity of content |
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| [Concurrent4C-Interpersonal Violence] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent4C-Interpersonal Violence] Session comments |
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| [Concurrent5A-Dementia] Session attendance (1.2 contact hour) |
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| [Concurrent5A-Dementia] 1. Introduce the ethical issues associated with diagnosis and care in the early stages of dementia. |
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| [Concurrent5A-Dementia] 2. Explore the "best practices" for sensitive moral treatment of patients/families dealing with moderate to advanced dementia (including a discussion of appropriate end-of-life care practices). |
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| [Concurrent5A-Dementia] 3. Reflect on larger health policy and funding questions posed by the growing elderly population. |
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| [Concurrent5A-Dementia] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent5A-Dementia] 5. Speaker's knowledge of subject |
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| [Concurrent5A-Dementia] 6. Speaker's organization and clarity of content |
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| [Concurrent5A-Dementia] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent5A-Dementia] Session comments |
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| [Concurrent5B-Substance Abuse] Session attendance (1.2 contact hour) |
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| [Concurrent5B-Substance Abuse] 1. Discuss the typical steps in evaluating children and teens suspected of substance abuse. |
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| [Concurrent5B-Substance Abuse] 2. Utilize appropriately the DSM-IVTR diagnoses for substance abuse and dependence |
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| [Concurrent5B-Substance Abuse] 3. Discuss the most recent treatment recommendations for youth with substance abuse and dependence |
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| [Concurrent5B-Substance Abuse] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent5B-Substance Abuse] 5. Speaker's knowledge of subject |
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| [Concurrent5B-Substance Abuse] 6. Speaker's organization and clarity of content |
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| [Concurrent5B-Substance Abuse] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent5B-Substance Abuse] Session comments |
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| [Concurrent5C-Pap Guidelines] Session attendance (1.2 contact hour) |
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| [Concurrent5C-Pap Guidelines] 1. Determine appropriate candidates and recommended intervals for pap smear testing. |
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| [Concurrent5C-Pap Guidelines] 2. Discuss pathology results which require followup, and appropriate followup testing. |
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| [Concurrent5C-Pap Guidelines] 3. Discuss referral options for followup testing of abnormal pap smears. |
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| [Concurrent5C-Pap Guidelines] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [Concurrent5C-Pap Guidelines] 5. Speaker's knowledge of subject |
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| [Concurrent5C-Pap Guidelines] 6. Speaker's organization and clarity of content |
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| [Concurrent5C-Pap Guidelines] 7. Effectiveness of speaker's teaching methods |
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| [Concurrent5C-Pap Guidelines] Session comments |
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| [General3-Influenza] Session attendance (1.2 contact hour) |
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| [General3-Influenza] 1. List the various types of influenza vaccine |
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| [General3-Influenza] 2. Describe the process for selecting influenza strains for annual influenza vaccine. |
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| [General3-Influenza] 3. State at least two new influenza immunization recommendations for the 2008-2009 season. |
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| [General3-Influenza] 4. The individual objectives related to the overall purpose/goals of the activity. |
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| [General3-Influenza] 5. Speaker's knowledge of subject |
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| [General3-Influenza] 6. Speaker's organization and clarity of content |
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| [General3-Influenza] 7. Effectiveness of speaker's teaching methods |
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| [General3-Influenza] Session comments |
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