PEM Echo - Behavioral Health Emergency
1.
Name:
 

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2.
Occupation:
MD
DO
PA
APRN/RN
LPN
EMS Provider
Other  
3.
Are you requesting CME or CEU's?
Yes - CME
Yes - CEU
No
4.

Hospital/Organization:

 

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5.

Email Address: 

 

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6.
CONTENT
 Strongly Agree Agree Disagree Strongly Disagree  
Was organized and easy to follow  
Met the objective(s)  
7.
TRAINER
 Strongly Agree Agree Disagree Strongly Disagree  
Knows and understands the topic  
Was well organized and prepared  
Was clear and easy to follow  
8.
Required for Physicians, PA's, APRN's, Requesting CME's
This was a quality CME activity and met the following objectives:
 Strongly Agree Agree Disagree Strongly Disagree  
Understand why we should focus on behavioral health and suicide  
Appreciate the prevalence of suicide amongst youth in the US and specifically in CT  
Recognize the symptoms and risk factors for suicide through use of evidence based screening  
Understand how to provide lethal means counseling in order to reduce suicide risk  
  • Comment:

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9.
Required for Physicians, PA's, APRN's, Requesting CME's
Please Rate the Following Statements
 Strongly Agree Agree Disagree Strongly Disagree  
This CME activity will favorably influence my ability to practice medicine as a leader, teacher and researcher  
The program clearly indicated whether or not this CME activity received commercial support  
I observed no overall commercial bias in this educational session  
I would definitely recommend this CME activity to my colleagues  
  • Comment:

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10.
What did you like best about this session?

 

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11.
What did you like least about this session?

 

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12.
Suggestions for Future Clinic Topics:

 

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