Penn State College of Medicine ACGME Program Evaluation
First Name
Last Name
Department/Division
Email Address
Session Being Evaluated
Aug. 15, 2024: Interns as Educators – Dr. Rachel Casas
Sept. 19, 2024: Direct observation and Feedback – Dr. Amy Westcott
Dec. 19, 2024: Teaching Clinical Reasoning – Dr. Nicholas Duca
Feb. 20, 2025: Teaching Physical Examination – Dr. Joeseph Enama
April 24, 2025: Evaluation of Students – Dr. Myles Nickolich
Appropriateness, Clarity and Thoroughness of the Content
Very High
High
Moderate
Low
Very Low
Speaker(s)' Knowledge of Subject
Very High
High
Moderate
Low
Very Low
Extent to Which Educational Objectives Were Achieved
Very High
High
Moderate
Low
Very Low
Extent to Which You Are Satisfied with the Overall Quality of the Education Activity
Very High
High
Moderate
Low
Very Low
Extent to Which the Activity Presented Scientifically Rigorous, Unbiased and Balanced Information
Very High
High
Moderate
Low
Very Low
In your opinion, did you detect any commercial bias in the presentation?
Yes
No
If yes, please explain.
Based on the information you received today, how will you change your practice as a result of attending this series? (Select all that apply.)
Modify treatment plans
Incorporate different diagnostic strategies into patient evaluations
Use alternative communication methodologies with patients and families
Change my screening/prevention practice
This series validated my current practice
Considering changes, but haven't implemented yet
I will not make any changes to my practice
Other (please specify)
What other changes will you make to your practice as a result of attending this series?
What barriers, if any, do you anticipate encountering as you make changes in your practice? (Select all that apply.)
Cost to patient
Lack of experience
Lack of opportunity (patients)
Lack of resources (equipment)
Lack of consensus or professional guidelines
Organizational or institutional challenges
Lack of time to assess or counsel patients
Reimbursement or insurance issues
Patient compliance issues
No barriers
Other (please specify)
What other barriers do you anticipate encountering as you make changes to your practice?
Please suggest topics for future sessions.
Please provide any general comments.
Questions about this form? Please contact
gme@pennstatehealth.psu.edu
.