Activity Evaluation Summary. Physician Assistants: 2013 Saturday, October 19, 2013 Hilton Phoenix Airport Hotel Phoenix, AZ

Transcription

1 Clinical Updates for Nurse Practitioners and Physician Assistants: 213 Activity Evaluation Summary CME Activity: Course Directors: and Physician Assistants: 213 Saturday, October 19, 213 Hilton Phoenix Airport Hotel Phoenix, AZ Deborah Paschal, CRNP and Gregg Sherman, MD Date of Evaluation Summary: November 5, NW 7 th Avenue, Suite 12 Plantation, FL (954) Phone (954) Fax info@naceonline.com

2 In October 213, the National Association for Continuing Education (NACE) sponsored a live CME activity, : 213, in Phoenix, AZ. This educational activity was designed to provide nurse practitioners and physician assistants the opportunity to learn about diagnosis and management of patients with varied conditions such as Osteoporosis, Pulmonary Arterial Hypertension, Acute Coronary Syndrome, Chronic Obstructive Pulmonary Disease, Responsible Opioid Prescribing, Vulvovaginal Atrophy, and Male Hypogonadism. In planning this CME activity, the NACE performed a needs assessment. A literature search was conducted, national guidelines were reviewed, survey data was analyzed, and experts in each therapeutic area were consulted to determine gaps in practitioner knowledge, competence or performance. One hundred one healthcare practitioners registered to attend Clinical Updates for Nurse Practitioners : 213 in Phoenix, AZ. Fifty six healthcare practitioners actually participated in the conference. Each attendee was asked to complete and return an activity evaluation form prior to the end of the conference. Fifty two completed forms were received. The data collected is displayed in this report. CME ACCREDITATION The National Association for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The National Association for Continuing Education designates this live activity for a maximum of 7. AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. National Association for Continuing Education is approved as a provider of nurse practitioner continuing education by the American Association of Nurse Practitioners. AANP Provider Number This program has been approved for 7. contact hours of continuing education (which 2.75 includes pharmacology hours). This program has been reviewed and is approved for a maximum of 7. hours of AAPA Category 1 CME credit by the Physician Assistant Review Panel. Physician assistants should claim only those hours actually spent participating in the CME activity. This program was planned in accordance with AAPA's CME Standards for Live Programs and for Commercial Support of Live Programs.

3 What is your professional degree? MD DO NP PA RN Other Total Valid Total Missing Total Title MD DO NP PA RN Other What is your specialty? Specialty Primary Care Endocrinology.. Rheumatology.. Pulmonology.. Cardiology Gastroenterology Other Total Valid Total Missing Total Primary Care Endocrinology Rheumatology Pulmonology Cardiology Gastroenterology Other October 19, Phoenix, AZ

4 Upon completion of this activity, I can now - Recognize the burden of symptoms and exacerbations on the health status of COPD patients; Recognize the role of pharmacotherapy to reduce COPD exacerbations and decrease symptom burden; Employ guideline-based, personalized care for COPD patients, including pharmacotherapy and nonpharmacotherapy to decrease symptom burden and decrease risk of future adverse events; Identify and manage multi-morbidities in COPD patients: Yes Somewhat Not at all Total Valid Learning Objectives1 Yes Somewhat Not at all October 19, Phoenix, AZ

5 Upon completion of this activity, I can now - Explain the pathophysiology of PAH; Determine when and how to screen patients for PAH; Describe current therapies in the management of PAH; Appropriately monitor patients receiving treatment for PAH: Yes Somewhat Not at all Total Valid Learning Objectives2 Yes Somewhat Not at all October 19, Phoenix, AZ

6 Upon completion of this activity, I can now - Recognize the importance of accurate risk stratification for optimal management of unstable angina, STEMI and NSTEMI; Describe and implement evidence-based approaches to risk assessment and stratification of patients presenting with chest pain, in determining appropriate treatment strategies; Discuss the most recent ACC/AHA guideline-recommended care for patients post-discharge and recognize strategies for successful discharge planning and follow-up care for the management of patients with USA/NSTEMI; Discuss the most recent recommendations for the management of patients with STEMI/ACS: Yes Somewhat Not at all Total Valid Learning Objectives3 Yes Somewhat Not at all October 19, Phoenix, AZ

7 Upon completion of this activity, I can now - Evaluate the quality of life impact of vulvovaginal atrophy and dyspareunia on female sexuality; Describe how to appropriately diagnose urogenital atrophy; Discuss the indications and efficacy of the various therapies for vulvovaginal atrophy/dyspareunia; Identify the barriers patients and healthcare providers have in communicating about sexual issues: Yes Somewhat Not at all.. Total Valid Learning Objectives4 Yes Somewhat Not at all October 19, Phoenix, AZ

8 Upon completion of this activity, I can now - Identify the prevalence, risk factors and co-morbid conditions associated with low testosterone; Recognize the importance of testing testosterone levels before prescribing PDE-5 inhibitors; Assess the safety, efficacy, benefits, and risks associated with the utilization of treatment options for low testosterone; Outline the challenges to short- and long-term management and monitoring of testosterone therapy: Yes Somewhat Not at all.. Total Valid Learning Objectives5 Yes Somewhat Not at all October 19, Phoenix, AZ

9 Upon completion of this activity, I can now - Discuss current guidelinebased principles for assessing and managing pain; Describe the problems of misuse, abuse and diversion of opioid analgesics in the community; Identify strategies for responsible prescribing of opioid analgesics to diminish risks of misuse, abuse and diversion: Yes Somewhat Not at all Total Valid Total Missing Total Learning Objectives6 Yes Somewhat Not at all October 19, Phoenix, AZ

10 Upon completion of this activity, I can now - Describe the burden of osteoporosis in men and women; Identify the skeletal differences in men and women for diagnosis of osteoporosis; Implement strategies for management of osteoporosis tailored to the particular needs of individuals at high risk of fracture; Identify potential benefits and adverse effects of available therapies in osteoporosis management Yes Somewhat Not at all.. Total Valid Total Missing Total Learning Objectives7 Yes Somewhat Not at all Overall, I would rate this activity as: Overall Activity Very Poor.. Total Valid Total Missing Total Very Poor October 19, Phoenix, AZ

11 Overall, this activity was effective in enhancing my confidence in caring for patients with the condition(s) presented? Strongly Agree Agree Neutral Disagree.. Strongly Disagree.. Total Valid Total Missing Total Enhancing My Confidence Strongly Agree Agree Neutral Disagree Strongly Disagree Overall, this activity was effective in improving my knowledge in the content areas presented: Strongly Agree Agree Neutral Disagree.. Strongly Disagree.. Total Valid Total Missing Total Improving My Knowledge Strongly Agree Agree Neutral Disagree Strongly Disagree October 19, Phoenix, AZ

12 As a result of this activity, I have learned new strategies for patient care: Strongly Agree Agree Neutral Disagree.. Strongly Disagree.. Total Valid Total Missing Total Strongly Agree Patient Care Agree Neutral Disagree Strongly Disagree How likely are you to implement these new strategies in your practice? Very likely Somewhat likely Unlikely.. Not applicable Total Valid Total Missing Total Very likely Make Changes Somewhat likely Unlikely Not applicable October 19, Phoenix, AZ

13 When do you intend to implement these new strategies into your practice? Within 1 month months months Not applicable Total Valid Total Missing Total Implement New Strategies Within 1 month 1-3 months 4-6 months Not applicable In terms of delivery of the presentation, please rate the effectiveness of the speaker: Kevin R. Flaherty, MD (COPD): Very Unsatisfactory.. Total Valid Total Missing Total Kevin R. Flaherty MD {COPD} Very Unsatisfactory October 19, Phoenix, AZ

14 In terms of delivery of the presentation, please rate the effectiveness of the speaker: C. Archer-Chicko, MSN (PAH): Very Unsatisfactory.. Total Valid Total Missing Total C. Archer-Chicko MSN {PAH} Very Unsatisfactory In terms of delivery of the presentation, please rate the effectiveness of the speaker: William H. Matthai, Jr., MD (ACS): Very Unsatisfactory.. Total Valid Total Missing Total William H. Matthai Jr. MD {ACS} Very Unsatisfactory October 19, Phoenix, AZ

15 In terms of delivery of the presentation, please rate the effectiveness of the speaker: Susan Wysocki, WHNP (VVA): Very Unsatisfactory.. Total Valid Total Missing Total Susan Wysocki WHNP {VVA} Very Unsatisfactory In terms of delivery of the presentation, please rate the effectiveness of the speaker: Brad Hornberger {HGD}: Very Unsatisfactory.. Total Valid Total Missing Total Brad Hornberger PA-C {HGD} Very Unsatisfactory October 19, Phoenix, AZ

16 In terms of delivery of the presentation, please rate the effectiveness of the speaker: Carol P. Curtiss, MSN (Pain): Very Unsatisfactory.. Total Valid Total Missing Total Carol P. Curtiss MSN {Pain} Very Unsatisfactory In terms of delivery of the presentation, please rate the effectiveness of the speaker: Nelson Watts, MD (Osteo): Very Unsatisfactory.. Total Valid Total Missing Total Nelson Watts MD {Osteo} Very Unsatisfactory October 19, Phoenix, AZ

17 To what degree do you believe that the subject matter was presented fair, balanced, and free of commercial bias? Kevin R. Flaherty, MD (COPD): Very Unsatisfactory.. Total Valid Total Missing Total Kevin R. Flaherty MD {COPD} Bias Very Unsatisfactory To what degree do you believe that the subject matter was presented fair, balanced, and free of commercial bias? C. Archer-Chicko, MSN (PAH): Very Unsatisfactory.. Total Valid Total Missing Total C. Archer-Chicko MSN {PAH} Bias Very Unsatisfactory October 19, Phoenix, AZ

18 To what degree do you believe that the subject matter was presented fair, balanced, and free of commercial bias? William H. Matthai, Jr., MD (ACS): Very Unsatisfactory.. Total Valid Total Missing Total William H. Matthai Jr. MD {ACS} Bias Very Unsatisfactory To what degree do you believe that the subject matter was presented fair, balanced, and free of commercial bias? Susan Wysocki, WHNP (VVA): Very Unsatisfactory.. Total Valid Total Missing Total Susan Wysocki WHNP {VVA} Bias Very Unsatisfactory October 19, Phoenix, AZ

19 To what degree do you believe that the subject matter was presented fair, balanced, and free of commercial bias? Brad Hornberger, PA-C (HGD): Very Unsatisfactory.. Total Valid Total Missing Total Brad Hornberger PA-C {HGD} Bias Very Unsatisfactory To what degree do you believe that the subject matter was presented fair, balanced, and free of commercial bias? Carol P. Curtiss, MSN (Pain): Very Unsatisfactory.. Total Valid Total Missing Total Carol P Curtiss MSN {Pain} Bias Very Unsatisfactory October 19, Phoenix, AZ

20 To what degree do you believe that the subject matter was presented fair, balanced, and free of commercial bias? Nelson Watts (Osteo): Very Unsatisfactory.. Total Valid Total Missing Total Nelson Watts MD {Osteo} Bias Very Unsatisfactory Which statement(s) best reflects your reasons for participating in this activity: Topics covered Location/ease of access Faculty Earn CME credits Total Valid Reasons for Participating Topics covered Location/ease of access Faculty Earn CME credits October 19, Phoenix, AZ

21 Future CME activities concerning this subject matter are necessary: Strongly agree Agree Neutral Disagree.. Strongly Disagree.. Total Valid Total Missing Total Strongly agree Future CME Activities Agree Neutral Disagree Strongly Disagree October 19, Phoenix, AZ

22 Comment Report: What is your professional degree? Comment PhD CCP Comment Report: What is your specialty? Comment Emergency Med/Urgent Care Psychiatry Infusion Services Corrections Psychiatry Geriatrics and Palliative Care Urgent Care Geriatrics/Palliative Care Psych - Drug tx Psych NP OB/GYN CV Surgery Int. Med. Peds OB/GYN Women's Health NP Comment Report: As a result of this activity, I have learned new strategies for patient care. List these strategies: Comment COPD guidelines. Antiplatelet therapy for ACS Improved patient care; care for COPD and ACS patients Screening for pulmonary hypertension. Strive to keep patients on dual anti-platelet therapy for 1 year when appropriate. Ask menopausal women about vaginal health and sex more regularly I'm in Psych so most don't pertain. Was good for increased knowledge Noting risk factors for hypogonadism. Labs to order for various conditions verification and monitoring labs Diagnosing pulmonary hypertension - refer more patients for evaluation strategies to diagnose VVA. Post ACS/STEMI medication/anti-platelets Beta blockers not appropriate in acute cardiac event - will not use B treatments for osteoporosis and management of WPD during acute event in inpatient setting Increased reliance on PET for ongoing couch. Vaginal PH testing Different drug tests for different problems. Caution in drug prescribing Evaluation of COPD patients when increasing sedation for procedures. Management of anti-platelets October 19, Phoenix, AZ

23 Comment Assessment of pain. Screening tools. Reference Clarification of anti-platelet use in ACS COPD med management. Make early referrals to pulmonary specialist for RHC in PH. Will address sexual concerns in patients Getting a handheld spirometry for the office to Dx COPD; BNP-PAH medic PFT's to look in younger patients with heart cath dx Better identification of the diseases discussed today as well as treatment options PAH treatment Evaluation and treatment of hypogonadism. Assessment/individuality with pain management. Anticoagulant in ACS patients. Treatment to lower COPD exacerbations. Screening patients for PAH. Using FRAX calc tool/drug choices/diet choices Better tx for patients with COPD. More comfortable discussing VVA and tx with patients. Better understanding of how to initiate TRT and what labs to follow. How to screen and tx men with osteoporosis Recognize PAH in my patients New strategies. Dx and tx in PAH. Caring for patients with vulvovaginal dyp In office Spirometry/Assessment Tools {CAT; Dyspnea Scale}. Raise screening for PAH/more tools for pain management Raise questioning of men and women regarding sexual dysfunction COPD guidelines. More confident in interpretation of PFT's COPD testing I am not involved with most of these conditions in primary setting except maybe osteoporosis's sec. to medical terms I might choose. However patients come in with these problems and medications and I need to understand them more in making choices. I am in GI Dosage of aspirin to use - PH treatments/diagnostics; treatment of COPD - more use of spirometry Approaches to chronic pain management. PAH confirmatory diagnosis Diagnosis of COPD Chest pain stratification/assessment Guidelines on hypogonadism. Steps on assessing risks for ACS severity I know the next best steps and therapies for PAH COPD Hypogonadism I will refer for patients with pulmonary HTN. I did not realize there were multiple tx options available or proper eval/ f/u for these patients. Will not use prasaquel or Ticagrelor in patients with fx TIA/CVM New strategies in treatment of dx of PH and VVA. Need to review our office on opioid policy. New documentation in office notes More ideas in diagnosing vaginal atrophy and how to initiate such conversations with patients Medical management including pharmaceutical and psychological Use screening tools. Use assessment guides. Ask patients more about specific symptoms Diagnose early is key for intervention. Review guidelines and utilize guidelines. Refer to specialists Comment Report: What topics would you like to see offered as CME activities in the future? October 19, Phoenix, AZ

24 Comment Evaluation of anemia Emergency Medicine topics Psychiatry Asthma. Diabetes. CHF. HTN. Cholesterol/lipid. Depression Pharmacology - mental health disorders Arrhythmia management. Preventive cardiology. Nutritional supplements. Disease management with lifestyle modifications More cardiac. Rheumatology. Biologic infusion therapy Hypertension. Adrenal disorders. Neurological disorders Any Gastroenterology - Hepatitis B and C. Autoimmune hepatitis. Barrett's esophagus Parkinsons Disease. Seizure. Neurological issues Diabetes management PAD. DM. Syncope More on women's health for the primary care provider Endocrinology. Infectious diseases. Kidney disease Ortho topics CHF. Diabetes Menopausal issues Thyroid eval and tx. PCOS. Resistant weight loss Diabetes. Palliative care. Hospice Psych topics Women's health {vaginal bleeding}. Pediatrics Metabolic syndrome. Dementia. HRT Heart failure Dermatology - specifically atopic/eczema/psoriatic IBD mgmt. Hepatitis B and C dx/tx Geriatric topics - meds/alzheimer's/options for elderly care Wound care therapies Dyslipidemia. Obesity. Depression in teens Diabetes management Women's health topics Asthma. Family planning Migraine treatments. Vertigo. Chronic fatigue syndrome. Inflammatory bowel disease. Leaky gut syndrome Renal dysfunction/management DM Dermatology for PCP's Weight management. Diabetes. Naturopathic medicine. Skin cancer Anything gastrointestinal DM. Post menopausal disorders. Gastrointestinal diseases Immunizations for pediatric and adult populations. Tx/evaluations of headaches October 19, Phoenix, AZ

25 Comment Psychiatry. OB/GYN. Drug addiction - Rx. Obesity management. Heart disease in women. Dermatological changes with aging. Psoriasis. Eczema. Age spots Comment Report: Additional comments: Comment This was a very interesting conference. Great topics and speakers. opportunity to network with other providers in my area Can you plan an event in Tucson? Thank you very much for organizing the conference. I really enjoyed it. speakers and location Very little integration of mental health issues. List of references with downloadable tools would be helpful I appreciate that you offer free CME programs Very good, though I feel that some of the items that were stated several times (CME Certificates) was unnecessary Really love these meetings. To the point; appropriate info for those who encounter these issues in primary care conference. Well presented. Informative I don t like going green. I prefer a syllabus where I can write notes with the slide picture Thank you. Susan is a fantastic speaker educational format - I feel I learn every time I come - and retained something conference. Thanks Great topics - loved it Wonderful CME activity Pick a location with free WiFi please Too cold - better in afternoon. Thanks facilitator There were too many pre-speaker questions to answer and several of the participants were not even using the responders program. Keep it up conference Room cold - everyone wearing coats. Great conference. lunch - veggie. Thank you Thank you conference October 19, Phoenix, AZ

26 Item Statistics: Title Specialty Learning Objectives1 Learning Objectives2 Learning Objectives3 Learning Objectives4 Learning Objectives5 Mean Variance Standard Deviation Inter Qrt. Range Con. Interval (1%) Con. Interval (5%) Con. Interval (95%) Con. Interval (99%) Learning Learning Overall Activity Enhancing My Improving My Patient Care Make Changes Objectives6 Objectives7 Confidence Knowledge Mean Variance Standard Deviation Inter Qrt. Range Con. Interval (1%) Con. Interval (5%) Con. Interval (95%) Con. Interval (99%) October 19, Phoenix, AZ

27 Implement New Strategies Kevin R. Flaherty MD {COPD} C. Archer- Chicko MSN {PAH} William H. Matthai Jr. MD {ACS} Susan Wysocki WHNP {VVA} Brad Hornberger PA- C {HGD} Carol P. Curtiss MSN {Pain} Mean Variance Standard Deviation Inter Qrt. Range Con. Interval (1%) Con. Interval (5%) Con. Interval (95%) Con. Interval (99%) Nelson Watts MD {Osteo} Kevin R. Flaherty MD {COPD} Bias C. Archer- Chicko MSN {PAH} Bias William H. Matthai Jr. MD {ACS} Bias Susan Wysocki WHNP {VVA} Bias Brad Hornberger PA- C {HGD} Bias Carol P Curtiss MSN {Pain} Bias Mean Variance Standard Deviation Inter Qrt. Range Con. Interval (1%) Con. Interval (5%) Con. Interval (95%) Con. Interval (99%) October 19, Phoenix, AZ

28 Nelson Watts MD {Osteo} Bias Reasons for Participating Future CME Activities Mean Variance Standard Deviation Inter Qrt. Range Con. Interval (1%) Con. Interval (5%) Con. Interval (95%) Con. Interval (99%) October 19, Phoenix, AZ