Adolescent Health Webinars Evaluation Please select the Ohio AAP MOC Part II Activity that you most recently completed: * Adolescent Health 101 Live Webinar (2/22/18) Adolescent Health 101 Self Assessment Name * First and Last Name (This is the name that will appear on your CME Certificate) Credentials Practice/Organization * Email Address * Phone Number * Address * Address 2 City * State * ------ Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip * Specialty * Primary Care Medical Subspecialty Surgeon Hospitalist Urgent Care OtherOther What is your practice's patient population? This is the total number of unique patients in your practice. Typically, this number is based on patients that have attended a visit in your practice within the last three years (or less if you have a more transient patient population). How may providers are in your practice? End Year for Current MOC Cycle * How can the Ohio AAP Assist in meeting your education needs? At the conclusion of this activity, are you able to: Improve confidence and competence in delivering healthcare for adolescents * Yes No Develop a better understanding of the unique needs of adolescents * Yes No Understand strategies to more effectively engage adolescents in care * Yes No # of CME Hours: # of MOC Part II Points: At the conclusion of this activity, are you able to: Improve confidence and competence in delivering healthcare for adolescents * Yes No Develop a better understanding of the unique needs of adolescents * Yes No Understand strategies to more effectively engage adolescents in care * Yes No # of CME Hours: # of MOC Part II Points: On a scale of 1-5, with 1 being Strongly Disagree and 5 being Strongly Agree, please rate the following statements. The content matched my current or potential scope of practice. * 1 2 3 4 5 The speaker was knowledgeable and able to effectively teach the content. * 1 2 3 4 5 As a result of participating in this learning activity, do you intend to make changes in your practice? * Yes No If yes to the previous question: Please describe what you will do differently in practice [performance]. How will you accomplish this change in practice [competence]? How would you rate your overall satisfaction with this activity? * Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied Please select the reason (or reasons) that you chose to access this activity: MOC Part II Credit CME Credit Educational Content OtherOther By signing or typing your name, you confirm your identity and agree to the conditions and disclosures of this survey. * Clear If you are human, leave this field blank.
