CME Evaluation Form

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CME Evaluation
Brought to you by MMIC, The Minnesota Medical Association and UMIA.
Title of program
Anticoagulants and Fall Injury Risk for Older Adult Patients
Date
May 6, 2015
Did the program achieve its primary objectives to change competence, performance, and/or patient outcomes?
Yes
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No
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Objective 2: Discuss the changing landscape of anticoagulant medications.
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Objective 3: Explore strategies to manage anticoagulants for your patients and keep them
safe.
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Objective 1: Describe the balance between preventing strokes and increase risk for fall
injury or death.
Use the following scale to rate the speaker(s) on content and presentation skills.
SA=Strongly agree; A=Agree; D=Disagree; SD=Strongly disagree
Speaker: Bruce Burnett, MD, FACP
Was well prepared and organized
Made effective use of available time
Presented the material in a clear, interesting and understandable manner
The Program:
Content was consistent with the description provided on the registration page
Will help me increase my knowledge
Will help me increase my competence
Will help me improve my performance
Will help me improve patient outcomes
SA
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A
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D
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SD
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As a result of participating in this activity, the primary thing I will do differently in my practice is?
Click here to enter text.
What might impede you from making this change?
Click here to enter text.
Was the activity free of commercial bias? Yes ☐
If no, please specify why not
No ☐
Click here to enter text.
What practice areas could you use additional training in to practice more effectively?
Click here to enter text.
Copyright 2015 MMIC 1876
1/15/14
In order to receive a CME Certificate for viewing the recorded version of this webinar, the following
questions must be completed:
1.
Which of these fall injury risk factors has been found to be one of the most significant risk factors
contributing to patient deaths resulting from a fall?
☐ a. Patient Age >85
☐ b. Bone issues (i.e., osteoporosis)
☐ c. Coagulation
☐ d. Post-Surgical
2.
What is the extent of increased bleed risk when combining aspirin with Warfarin?
☐ a. No increased risk
☐ b. 1-2 fold increase in hemorrhage rate
☐ c. 2-3 fold increase in hemorrhage rate
☐ d. 4-5 fold increase in hemorrhage rate
3.
What actions should be taken for patients taking anti-thrombotics in the hospital?
☐ a. Alert that patient is at high risk for sustaining a serious injury if a fall occurs
☐ b. Reassessment of the risks and benefits of anticoagulation
☐ c. Evaluation for discontinuing of anti-platelets
☐ d. All of the above
Physician Attendance Verification: I attended the entire presentation.
Signature with Credentials Click here to enter text.
Email Click here to enter text.
Date Click here to enter text.
To receive CME credit for the recorded version of this webinar, type your name, email address and
date above and check the box below to send it electronically to Education@mmicgroup.com. It may
also be faxed to Joleen Doty at 952-838-6808. Your CME certificate will then be emailed to you.
☐ By checking this box, I attest that the completed information is accurate. Please accept this as my
signature.
Copyright 2015 MMIC 1876
1/15/14
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