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Please type responses here: |
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First Name:
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Last Name:
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Email Address:
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Retype Email Address:
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Title:
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Institution:
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Phone Number:
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City:
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State/Province:
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Postal/Zip Code:
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Country:
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What topics would you like to see covered in future POC Group Webinars?
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Overall, how would you rate your satisfaction with this Point of Care Web Meeting?
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Extremely satisfied
Very satisfied
Somewhat satisfied
Dissatisfied
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Your feedback helps your webinar producers and sponsors improve the overall quality of their products and services.
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What device types are you considering adding to your middleware system in 2023? Choose all that apply:
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Blood Gas
Coagulation
Urinalysis
Hemoglobin
Flu
Strep
PT/INR
SARS-CoV
Manual Tests
Other
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If you chose ‘other’ in the question above, please list the device type(s) are you considering adding to your middleware system in 2023:
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What current data management system(s) are you using? Choose all that apply:
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Abbott PrecisionWeb™
GEMweb® Plus
Orchard® Trellis™
Radiometer AQURE
Radiometer Radiance
RALS™ Connectivity System
Roche cobas® IT 1000 / cobas® infinity POC
SIEMENS POCcelerator™
SIEMENS RapidComm®
SIEMENS UniPOC™
Telcor QML®
None
Other
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If you chose ‘other’ in the question above, please list your current data management system(s):
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Do you currently use Cepheid tests?
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Yes
No
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Are you looking to add any new CLIA waived molecular tests this year?
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Yes
No
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Would you like to be contacted to learn more about Cepheid's POC solutions?
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Yes
No
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How familiar are you with the LumiraDx Platform?
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Which of the following point of care SARS-CoV-2 diagnostic test methods are being used in your outpatient settings? Please select all that apply:
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PCR
Other molecular method (e.g. isothermal NAAT)
Visually read lateral flow immunoassay
Lateral flow immunoassay with a reader
Microfluidic fluorescent immunoassay
Other
N/A
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Would you be interested in learning how the CLIA-waived CBC can help reduce lab send outs?
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Yes
No
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Will you be adding CLIA-waived tests to your practices within next 6 months?
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Yes
No
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Who do you currently purchase the majority of your products from? Please check all that apply:
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Fisher HealthCare
Another Distribution Channel
Direct from Manufacturer
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Which areas do you currently utilize POC testing for? Please check all that apply:
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Flu
Group A Strep
Other Infectious Disease
Pregnancy
Coagulation (PT/INR)
Diabetes Monitoring (Glucose & HbA1c)
DOA
Lipid Panel
Other
I don’t do POC testing
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Would you like to receive ASCLS PACE credit for this session, program number 174-015-23? (If no, you do not need to complete the following questions.)
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Yes
No
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To receive ASCLS PACE credit (PACE Program number 174-015-23, California Agency #0001) for "Clinician vs. Laboratorian: Conflict or Collaboration?" presented on August 15, 2023, you will be required to complete the following program evaluation.
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If the following is true, please answer "Yes": I have attended the full instructional time for this program. I understand that completion of the program is necessary to receive the contact hours awarded for the program.
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Yes
No
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SPEAKER RATING
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To what extent was the speaker knowledgeable, organized and effective during the presentation? (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
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5
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To what extent did the speaker clarify and focus on the stated objectives? (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
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To what extent were the speaker's teaching methods & aids appropriate & effective? (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
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5
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OBJECTIVES RATING:
To what extent was each objective achieved?
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Describe common factors leading to conflict between labs and clinicians. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
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5
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Discuss possible changes to processes and procedures to minimize these conflicts. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
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Review collaborative initiatives to alleviate conflict. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
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1
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5
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PROGRAM CONTENT RATING
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To what extent did the program content relate to the program's objectives? (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
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5
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Rate the contribution of this session to your overall knowledge of this subject. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
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5
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Rate your overall degree of satisfaction with this session. (Rate on scale from 1 - 5 with 1 being the lowest and 5 being the highest)
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1
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5
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Comments:
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Thank you for attending this PACE approved program and completing this evaluation. Questions? Call Whitehat Communications at 434 202 8365.
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