Chicago, IL (The Westin Michigan Avenue)
Saturday, November 18, 2017
Thank you for taking the time to complete this conference evaluation.
All evaluations must be completed by Friday, December 8, 2017. Please be
ready to print and/or save your certificate upon completion of your evaluation.
*1. How would you rate the faculty for this CME Conference?
*2. The content/format of this activity and its related materials should
promote improvements or quality in healthcare and not a specific proprietary
business interest of a commercial interest. Presentations should also give
a balanced view of therapeutic options.
A “commercial interest” is any entity producing, marketing,
re-selling, or distributing healthcare goods or services, used on, or consumed
Was the information provided during this program biased and compromised
by commercial support?
*If you feel yes, this activity was biased and compromised by commercial
support, please describe:
*3. Did this activity meet its stated objectives?
a) Identify the common categories of headache
b) Distinguish between chronic migraine and medication-overuse headache in order to choose the best preventive strategies
c) Recognize the characteristic clinical presentations of headache in children and identify the challenges of treating the pediatric patient with chronic migraine
4. After participating in this activity, I intend to: (check all that
*5. This activity provided new information.
*6. The educational approach used in this activity was conducive to my
*7. I learned information that is directly applicable to my practice.
*8. I learned information that will help improve my patient’s outcomes.
*9. This activity increased my knowledge, competence, and/or will improve
*10. Are there any barriers that would keep you from implementing the
practice paradigms discussed in this educational activity? (check all that
*11. Institute of Medicine Core Competencies and ACGME/ABMS Competencies
Please indicate which of the following competencies were addressed by
this educational activity. (check all that apply)
12. Please give us your comments regarding the overall activity or suggestions
*13. Have you or anyone else in your practice ever referred a patient
to the Diamond Headache Clinic?
*14. Have any of the patients that you have referred ever been admitted
to the Diamond Inpatient Headache Unit?
*15. How did you hear about this meeting?
*16. Would you like to be added to Primary Care Network’s e-mail
list and receive notification of CME opportunities through our newsletter,
I certify that I have attended___ hours (hour-for-hour basis for a maximum
of 8 hours) of this educational activity and request a certificate.
I will claim only the total number of hours for which I participated.