Participant Information
All fields in this section are required.
1. Work location
New York State
Outside New York State
2. Primary occupation
Physician
Physician’s Assistant
Registered Nurse
Nurse Practitioner
Social Worker
Case Manager
Outreach Worker
HIV/AIDS Counselor
Environmental Health
Administrator
Student
Other
3. Primary work setting
Local health department
State health department
Other state agency
Hospital
Long-term care facility
Private medical practice
College/university
Business/industry
Not-for-profit
Other
4. How did you learn about this program?
(check all that apply)
Organizational newsletter
Hospital or clinic posting
Direct mailing from School of Public Health
Email from School of Public Health
School of Public Health website
Residency director
Colleague
Other (please specify below)
5. What format did you use?
VHS video
Videostreaming
Evaluation
This video
provides information for practitioners who wish to improve their knowledge
of breast cancer,
anatomy
and physiology of the breast, and the early detection “Triad” approach
of assessment. All fields in this section are required.
As a result of my participation in
this videoconference, I am able to:
6. Discuss the epidemiology of breast
cancer and the importance of the clinical breast exam in early detection.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
7. List and describe the three primary
early detection strategies for appropriate women, including American
Cancer Society guidelines.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
8. Describe and document systematic
clinical beast exam.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
9. Identify common breast abnormalities,
disease, and treatments.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
10. The specific objectives successfully
met the overall goal of the program.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
11. The presenter, Dr. Mary Applegate,
was knowledgeable.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
12. The presenter, Dr. Mary Barton,
was knowledgeable.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
13. The teaching strategies were appropriate
to the topic.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
14. The program satisfied my educational
needs.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
15. The program will enhance performance
of my duties.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
16. The program will improve my practice/professional
outcomes.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
17. The format (e.g., videotape, videostreaming)
is a good way for me to get continuing education.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
18. The handout materials were effective.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
19. I would recommend this program to
others.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
Type your responses in the boxes provided.
All fields in this section are optional.
20. What was the most useful or important
thing you learned during this program?
21. What suggestions do you have
for improving the program?
22. Other comments about this
program.
23. Other women’s health topics
of interest you would like to see included in this series.
Continuing Education Credits
If you would like to receive continuing
education credits, you must complete the following posttest
and application. Please click the "Continue with Post-test" button.