Program Evaluation - Missouri Pharmacy Association

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“Patient Assessment Skills for Optimizing Self-Care, Part 1 of 4:
Evaluation of Skin, Hair, and Nails”
Knowledge-based CPE
ACPE UAN# 0145-9999-14-017-H01-P
2 Contact Hours or 0.2 CEUs
Please respond to the following statements using the following scale:
1= Strongly Disagree 2= Disagree
3=Neutral
4= Agree
5= Strongly Agree
Std. 11
Items
A.
B.
1
2
3
The activity met my educational needs.
Achievement of stated learning objectives:
a)
b)
c)
d)
e)
Utilize communication skills that enhance information exchange between the patient
and the pharmacist.
Effectively evaluate a patient using the QuEST/SCHOLAR process for OTC
counseling.
Define characteristics of febrile patients that indicate a need for physician
evaluation.
Assess the skin, hair and nails to identify common medical conditions.
Recognize opportunities for utilizing basic patient assessment skills in the
ambulatory care setting.
C.
The author was organized in the written materials.
D.
The educational materials were useful.
E.
The teaching and learning methods (pre/post-tests, questions, cases) were effective.
F.
The learning methods (pre/post-tests, questions, cases) were appropriate
a) Questions were relevant to the CPE activity
b) Questions were at an appropriate level of difficulty
c) Feedback was given in a timely manner
d) Feedback was helpful for my learning
G.
The program was presented in a fair and unbiased manner.
If not, please describe______________________
Additional comments:
MPA Member Pharmacist ______ MSPT Member Technician_______ Non-Member______ ($10.00)
Name:_____________________________________________________Phone#:____________________
Address:_______________________________City:_____________________State:______ Zip:________
Employer:____________________________________Email:____________________________________
NABP#_____________________________DOB (MM/DD):______________________________________
Signature:_____________________________________
Date:______________________________
The Missouri Pharmacy Association is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a
provider of continuing education. The ACPE universal activity number to this offering is 0145-9999-14-017-H01-P. This
continuing education program has been accredited for 0.2 CEUs.
Course release date: 5-19-14 / Expiration date: 5-19-14
Target audience: Pharmacists
Please mail this evaluation along with the answer sheet to:
Missouri Pharmacy Association
Attn: Robyn Silvey
211 East Capitol Avenue
Jefferson City, MO 65101
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