ESSENTIAL AREA # 2
Education Planning and Evaluation
Element 2.4 "The provider must evaluate the effectiveness of its CME activities in meeting identified educational needs"
Element 2.5 "The provider must evaluate the effectiveness of its overall CME program and make improvements to the program"
SAMPLE COURSE EVALUATION
Name of Course:
Date of Course:
Please help us to evaluate our program by completing this form. All responses will be confidential. Thank you for your cooperation.
Course Objectives:
1.________________________________________________
2.________________________________________________
3.________________________________________________
|
Please use the scale below to answer the following statements: |
YES |
NO |
UNSURE |
|
1. The course objectives stated above were clearly met |
1 |
2 |
3 |
| 2. The information presented will be useful in my practice |
1 |
2 |
3 |
| 3. The physical facilities and A-V presentation were satisfactory |
1 |
2 |
3 |
| 4. The length of the program was adequate |
1 |
2 |
3 |
| 5. Speakers presentation skills were effective. |
1 |
2 |
3 |
What specific things did you like best about the program that you will find most useful in your practice?
Please comment on topics you would like to see addressed at future CME meetings.
Please rate whether the presentation was objective in order to ensure that content is valid and aligned with the interest of the public. (1 = objective, 5 = biased) _____
Overall, I would rank this program as:
|
Excellent |
Good |
Average |
Fair |
Poor |
|
1 |
2 |
3 |
4 |
5 | | 
