Overall, this program was: *

Excellent

Above Average

Average

Below Average

Poor

Have the following objectives been met? *

	Yes	Partially	No
Describe the changes in administration of neuraxial anesthesia with the use of heparin.	Describe the changes in administration of neuraxial anesthesia with the use of heparin. - Yes	Describe the changes in administration of neuraxial anesthesia with the use of heparin. - Partially	Describe the changes in administration of neuraxial anesthesia with the use of heparin. - No
Describe the changes in administration of neuraxial anesthesia with the use of low molecular weight heparin.	Describe the changes in administration of neuraxial anesthesia with the use of low molecular weight heparin. - Yes	Describe the changes in administration of neuraxial anesthesia with the use of low molecular weight heparin. - Partially	Describe the changes in administration of neuraxial anesthesia with the use of low molecular weight heparin. - No
Formulate a safe perioperative plan for obstetric anticoagulated patients.	Formulate a safe perioperative plan for obstetric anticoagulated patients. - Yes	Formulate a safe perioperative plan for obstetric anticoagulated patients. - Partially	Formulate a safe perioperative plan for obstetric anticoagulated patients. - No
Describe types and indications of different regional techniques.	Describe types and indications of different regional techniques. - Yes	Describe types and indications of different regional techniques. - Partially	Describe types and indications of different regional techniques. - No
Describe contraindications to regional techniques in pediatrics.	Describe contraindications to regional techniques in pediatrics. - Yes	Describe contraindications to regional techniques in pediatrics. - Partially	Describe contraindications to regional techniques in pediatrics. - No
Describe awake vs asleep blocks: advantages vs disadvantages.	Describe awake vs asleep blocks: advantages vs disadvantages. - Yes	Describe awake vs asleep blocks: advantages vs disadvantages. - Partially	Describe awake vs asleep blocks: advantages vs disadvantages. - No
Describe safe and effective additives and their doses.	Describe safe and effective additives and their doses. - Yes	Describe safe and effective additives and their doses. - Partially	Describe safe and effective additives and their doses. - No
Describe signs of local anesthesia toxicity and treatment.	Describe signs of local anesthesia toxicity and treatment. - Yes	Describe signs of local anesthesia toxicity and treatment. - Partially	Describe signs of local anesthesia toxicity and treatment. - No
Describe neuroaxial anesthesia in pediatrics.	Describe neuroaxial anesthesia in pediatrics. - Yes	Describe neuroaxial anesthesia in pediatrics. - Partially	Describe neuroaxial anesthesia in pediatrics. - No
Describe the anatomy and indications for a transversus abdominis plane block.	Describe the anatomy and indications for a transversus abdominis plane block. - Yes	Describe the anatomy and indications for a transversus abdominis plane block. - Partially	Describe the anatomy and indications for a transversus abdominis plane block. - No
Describe the anatomy and the indications for a rectus sheath block.	Describe the anatomy and the indications for a rectus sheath block. - Yes	Describe the anatomy and the indications for a rectus sheath block. - Partially	Describe the anatomy and the indications for a rectus sheath block. - No
Describe alternative regional anesthesia approaches for below knee amputees.	Describe alternative regional anesthesia approaches for below knee amputees. - Yes	Describe alternative regional anesthesia approaches for below knee amputees. - Partially	Describe alternative regional anesthesia approaches for below knee amputees. - No
Review history of nitrous oxide.	Review history of nitrous oxide. - Yes	Review history of nitrous oxide. - Partially	Review history of nitrous oxide. - No
Discuss updates on the safety of nitrous oxide.	Discuss updates on the safety of nitrous oxide. - Yes	Discuss updates on the safety of nitrous oxide. - Partially	Discuss updates on the safety of nitrous oxide. - No
Discuss non-operating room use of nitrous oxide.	Discuss non-operating room use of nitrous oxide. - Yes	Discuss non-operating room use of nitrous oxide. - Partially	Discuss non-operating room use of nitrous oxide. - No

If any of the above objectives were not met, please explain.

The teaching and learning methods were effective for the subject matter and incorporated active learning. *

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

The information presented was pertinent to my professional needs/scope of practice. *

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Do you plan to make changes to your practice based on the information in this activity? *

Yes

No

If no, please comment:

What is your level of commitment to making the changes stated above? *

Very committed

Somewhat committed

Not very committed

Do not expect to change practice.

Please rate the projected impact of this CME activity on your competence, performance and/or patient outcomes. *

	Yes	Somewhat	No
This activity will increase my competence:	This activity will increase my competence: - Yes	This activity will increase my competence: - Somewhat	This activity will increase my competence: - No
This activity will improve my performance:	This activity will improve my performance: - Yes	This activity will improve my performance: - Somewhat	This activity will improve my performance: - No
This activity will improve my patient outcomes:	This activity will improve my patient outcomes: - Yes	This activity will improve my patient outcomes: - Somewhat	This activity will improve my patient outcomes: - No

Do you anticipate barriers in implementing the information gained from this activity? *

Yes

No

If yes, please comment:

Was a commercial product, device, or service promoted in this session? *

Yes

No

If yes, please comment:

Has conflict of interest, or lack thereof, been declared either verbally or in writing prior to the start of the activity? *

Yes

No

1. Please rate LESTER CHUA, MD on the following: *

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Cited up to date research	Cited up to date research - Strongly Agree	Cited up to date research - Agree	Cited up to date research - Neutral	Cited up to date research - Disagree	Cited up to date research - Strongly Disagree
Inspired me to learn more	Inspired me to learn more - Strongly Agree	Inspired me to learn more - Agree	Inspired me to learn more - Neutral	Inspired me to learn more - Disagree	Inspired me to learn more - Strongly Disagree
Engaging: Should be invited back	Engaging: Should be invited back - Strongly Agree	Engaging: Should be invited back - Agree	Engaging: Should be invited back - Neutral	Engaging: Should be invited back - Disagree	Engaging: Should be invited back - Strongly Disagree

Comments on SPEAKER 1

2. Please rate BRIAN MARTIN, MD on the following: *

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Cited up to date research	Cited up to date research - Strongly Agree	Cited up to date research - Agree	Cited up to date research - Neutral	Cited up to date research - Disagree	Cited up to date research - Strongly Disagree
Inspired me to learn more	Inspired me to learn more - Strongly Agree	Inspired me to learn more - Agree	Inspired me to learn more - Neutral	Inspired me to learn more - Disagree	Inspired me to learn more - Strongly Disagree
Engaging: Should be invited back	Engaging: Should be invited back - Strongly Agree	Engaging: Should be invited back - Agree	Engaging: Should be invited back - Neutral	Engaging: Should be invited back - Disagree	Engaging: Should be invited back - Strongly Disagree

Comments on SPEAKER 2

3. Please rate JASMINE GILL, MD on the following: *

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Cited up to date research	Cited up to date research - Strongly Agree	Cited up to date research - Agree	Cited up to date research - Neutral	Cited up to date research - Disagree	Cited up to date research - Strongly Disagree
Inspired me to learn more	Inspired me to learn more - Strongly Agree	Inspired me to learn more - Agree	Inspired me to learn more - Neutral	Inspired me to learn more - Disagree	Inspired me to learn more - Strongly Disagree
Engaging: Should be invited back	Engaging: Should be invited back - Strongly Agree	Engaging: Should be invited back - Agree	Engaging: Should be invited back - Neutral	Engaging: Should be invited back - Disagree	Engaging: Should be invited back - Strongly Disagree

Comments on SPEAKER 3

4. Please rate NANDAKUMAR PONNUSAMY, MD on the following: *

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Cited up to date research	Cited up to date research - Strongly Agree	Cited up to date research - Agree	Cited up to date research - Neutral	Cited up to date research - Disagree	Cited up to date research - Strongly Disagree
Inspired me to learn more	Inspired me to learn more - Strongly Agree	Inspired me to learn more - Agree	Inspired me to learn more - Neutral	Inspired me to learn more - Disagree	Inspired me to learn more - Strongly Disagree
Engaging: Should be invited back	Engaging: Should be invited back - Strongly Agree	Engaging: Should be invited back - Agree	Engaging: Should be invited back - Neutral	Engaging: Should be invited back - Disagree	Engaging: Should be invited back - Strongly Disagree

Comments on SPEAKER 4

I would recommend this activity to my peers. *

Yes

No

Please comment:

Suggestions for improving this conference so that it will be more effective.

Please cover the following topics in future sessions:

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