40th Annual Brain Injury Pre-Conference Evaluation

Name*

First Last

Name as it should appear on certificate*

Email*

Please indicate the certificate that is most appropriate for you needs:*

Nurses (ANCC)
Psychologists (APA)
Social Workers (ASWB)
General Attendance

How long did it take you to complete this activity?

Hours*

HH:MM

Commitment to Change

As a result of my participation in this activity, I will commit to:

Learning Objectives

Please rate your level of agreement with the course meeting the stated learning objectives:

Recognize support resources available across the state of Massachusetts for brain injury survivors and their families, including tools to aid in recovery and rehabilitation, and demonstrate accessing those programs*

Differentiate between statewide advocacy and assistance programs dedicated to the quality of life of brain injury survivors, and translate that knowledge to advocate for the brain injury community*

Appraise the depth and breadth of sign and symptoms of brain injury, based on current and cutting-edge science, and in turn develop both short-term and long-term treatments to enhance positive impacts on survivors and their families*

Interpret a variety of biopsychosocial factors impacting brain injury survivors and their families, including domestic violence, racial disparities, age, and communication barriers, and implement appropriate communication and treatment protocols recognizing that impact*

Demonstrate a commitment to sharing information and experiences of brain injury survivors to further education and training of professionals across a spectrum of medical and social communities*

Content

Please rate your level of agreement with the following statements. This activity…

Helped me to have a better understanding of the topic(s).*

Assisted me to consider using the information in a different way to improve my practice.*

Provided me with resources I can use in my daily practice or with my patients.*

Will support my routine clinical practice to deliver evidence-based, best practice that improves patient health outcomes.*

Credibility

Will you change the way you practice based on this activity?*

Yes
No

Do you feel the activity was balanced and objective?*

Yes
No

Do you feel the activity was free of commercial bias?*

Yes
No

Approximately what percent of this content was NEW to you?*

As compared to other CME activities you have participated in the past six months, do you believe this activity:*

Increased your knowledge
Will improve patient outcomes in your practice

What I liked about this activity…? (Select all that apply)*

It increased my knowledge
It will improve my communication with the healthcare team
It provided information in ways that I can review again later
It gave me the opportunity to apply information to realistic scenarios that I confront in my practice
It facilitated applying values/ethics to interprofessional practice

In the past six months, how many CME programs have you participated in?*

What was the most useful information you gained from this activity?

40th Annual Brain Injury Pre-Conference Evaluation

Commitment to Change

Learning Objectives

Content

Credibility

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