Module IV: Gastroenterology CME Evaluation

I have been a practicing clinician for: *

Please indicate which of the following best describes your specialty: *

Please select the extent to which you agree/disagree that the activity supported the achievement of each learning objectives? *

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Discuss the various factors associated with intestinal permeability	Discuss the various factors associated with intestinal permeability - Strongly Disagree	Discuss the various factors associated with intestinal permeability - Disagree	Discuss the various factors associated with intestinal permeability - Neutral	Discuss the various factors associated with intestinal permeability - Agree	Discuss the various factors associated with intestinal permeability - Strongly Agree
Analyze the importance of the gastrointestinal tract in relation to the immune system	Analyze the importance of the gastrointestinal tract in relation to the immune system - Strongly Disagree	Analyze the importance of the gastrointestinal tract in relation to the immune system - Disagree	Analyze the importance of the gastrointestinal tract in relation to the immune system - Neutral	Analyze the importance of the gastrointestinal tract in relation to the immune system - Agree	Analyze the importance of the gastrointestinal tract in relation to the immune system - Strongly Agree
Evaluate the role of diet and antibiotics in the management of gastrointestinal dysfunction	Evaluate the role of diet and antibiotics in the management of gastrointestinal dysfunction - Strongly Disagree	Evaluate the role of diet and antibiotics in the management of gastrointestinal dysfunction - Disagree	Evaluate the role of diet and antibiotics in the management of gastrointestinal dysfunction - Neutral	Evaluate the role of diet and antibiotics in the management of gastrointestinal dysfunction - Agree	Evaluate the role of diet and antibiotics in the management of gastrointestinal dysfunction - Strongly Agree

If you answered "Strongly Disagree" or "Disagree" please explain:

Please select the extent to which you agree/disagree that the activity achieved the following: *

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
The content was evidence-based	The content was evidence-based - Strongly Disagree	The content was evidence-based - Disagree	The content was evidence-based - Neutral	The content was evidence-based - Agree	The content was evidence-based - Strongly Agree
The educational material provided useful information for my practice	The educational material provided useful information for my practice - Strongly Disagree	The educational material provided useful information for my practice - Disagree	The educational material provided useful information for my practice - Neutral	The educational material provided useful information for my practice - Agree	The educational material provided useful information for my practice - Strongly Agree
The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity)	The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity) - Strongly Disagree	The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity) - Disagree	The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity) - Neutral	The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity) - Agree	The opportunities provided to assess my own learning were appropriate (e.g., questions before, during or after the activity) - Strongly Agree

If you answered "Strongly Disagree" or "Disagree" please explain:

To what degree did/will this activity: *

	Significantly	Moderately	Minimally	Not at all
Increase your knowledge	Increase your knowledge - Significantly	Increase your knowledge - Moderately	Increase your knowledge - Minimally	Increase your knowledge - Not at all
Change your competence	Change your competence - Significantly	Change your competence - Moderately	Change your competence - Minimally	Change your competence - Not at all
Change your practice performance	Change your practice performance - Significantly	Change your practice performance - Moderately	Change your practice performance - Minimally	Change your practice performance - Not at all
Change patient care	Change patient care - Significantly	Change patient care - Moderately	Change patient care - Minimally	Change patient care - Not at all

Do you plan to implement & utilize the information you have received at this course? *

Yes

No

If you answered "No", please explain:

Was this activity free of commercial bias? *

Yes

No

If you answered "No", please explain:

Please rate the faculty *

	Excellent	Above Average	Average	Fair	Poor
Pamela W. Smith, MD, MPH, MS	Pamela W. Smith, MD, MPH, MS - Excellent	Pamela W. Smith, MD, MPH, MS - Above Average	Pamela W. Smith, MD, MPH, MS - Average	Pamela W. Smith, MD, MPH, MS - Fair	Pamela W. Smith, MD, MPH, MS - Poor
James LaValle, RPh, CCN, ND(trad)	James LaValle, RPh, CCN, ND(trad) - Excellent	James LaValle, RPh, CCN, ND(trad) - Above Average	James LaValle, RPh, CCN, ND(trad) - Average	James LaValle, RPh, CCN, ND(trad) - Fair	James LaValle, RPh, CCN, ND(trad) - Poor
Elizabeth Lipski, PhD	Elizabeth Lipski, PhD - Excellent	Elizabeth Lipski, PhD - Above Average	Elizabeth Lipski, PhD - Average	Elizabeth Lipski, PhD - Fair	Elizabeth Lipski, PhD - Poor
Gerard Mullin, MD	Gerard Mullin, MD - Excellent	Gerard Mullin, MD - Above Average	Gerard Mullin, MD - Average	Gerard Mullin, MD - Fair	Gerard Mullin, MD - Poor
Steve Sandberg-Lewis, ND, DHANP	Steve Sandberg-Lewis, ND, DHANP - Excellent	Steve Sandberg-Lewis, ND, DHANP - Above Average	Steve Sandberg-Lewis, ND, DHANP - Average	Steve Sandberg-Lewis, ND, DHANP - Fair	Steve Sandberg-Lewis, ND, DHANP - Poor
Robert Brown, MD	Robert Brown, MD - Excellent	Robert Brown, MD - Above Average	Robert Brown, MD - Average	Robert Brown, MD - Fair	Robert Brown, MD - Poor
Jill Carnahan, MD	Jill Carnahan, MD - Excellent	Jill Carnahan, MD - Above Average	Jill Carnahan, MD - Average	Jill Carnahan, MD - Fair	Jill Carnahan, MD - Poor
Matthew Ciorba, MD	Matthew Ciorba, MD - Excellent	Matthew Ciorba, MD - Above Average	Matthew Ciorba, MD - Average	Matthew Ciorba, MD - Fair	Matthew Ciorba, MD - Poor
Gerard Clarke, PhD, MSc, BSc (Hons)	Gerard Clarke, PhD, MSc, BSc (Hons) - Excellent	Gerard Clarke, PhD, MSc, BSc (Hons) - Above Average	Gerard Clarke, PhD, MSc, BSc (Hons) - Average	Gerard Clarke, PhD, MSc, BSc (Hons) - Fair	Gerard Clarke, PhD, MSc, BSc (Hons) - Poor
John Clarke, MD	John Clarke, MD - Excellent	John Clarke, MD - Above Average	John Clarke, MD - Average	John Clarke, MD - Fair	John Clarke, MD - Poor
Thomas Guilliams, PhD	Thomas Guilliams, PhD - Excellent	Thomas Guilliams, PhD - Above Average	Thomas Guilliams, PhD - Average	Thomas Guilliams, PhD - Fair	Thomas Guilliams, PhD - Poor
Leonard Weinstock, MD	Leonard Weinstock, MD - Excellent	Leonard Weinstock, MD - Above Average	Leonard Weinstock, MD - Average	Leonard Weinstock, MD - Fair	Leonard Weinstock, MD - Poor

Please feel free to comment on any aspect of this activity. (Optional)

Specific to your specialty, what other topics would be beneficial in your practice for future educational activities?

Specific to your specialty, what other topics would be beneficial in your practice for future educational activities? Other...

I prefer to receive CME through: *

I prefer to receive CME through: Other...

The George Washington University School of Medicine and Health Sciences