1 Start 2 Complete

Date of Eval

Individual Session

	Poor	Fair	Average	Good	Excellent
9:30 am - 10:00 am - Dr. Alva Weir - present all liver cancer cases	9:30 am - 10:00 am - Dr. Alva Weir - present all liver cancer cases - Poor	9:30 am - 10:00 am - Dr. Alva Weir - present all liver cancer cases - Fair	9:30 am - 10:00 am - Dr. Alva Weir - present all liver cancer cases - Average	9:30 am - 10:00 am - Dr. Alva Weir - present all liver cancer cases - Good	9:30 am - 10:00 am - Dr. Alva Weir - present all liver cancer cases - Excellent
10:00 am - 10:30 am - Dr. Tombazzi - present all GI lesions (non-cancer cases)	10:00 am - 10:30 am - Dr. Tombazzi - present all GI lesions (non-cancer cases) - Poor	10:00 am - 10:30 am - Dr. Tombazzi - present all GI lesions (non-cancer cases) - Fair	10:00 am - 10:30 am - Dr. Tombazzi - present all GI lesions (non-cancer cases) - Average	10:00 am - 10:30 am - Dr. Tombazzi - present all GI lesions (non-cancer cases) - Good	10:00 am - 10:30 am - Dr. Tombazzi - present all GI lesions (non-cancer cases) - Excellent
10:30 am - 10:45 am - Dr. Lands - present all other GI cancers (except liver)	10:30 am - 10:45 am - Dr. Lands - present all other GI cancers (except liver) - Poor	10:30 am - 10:45 am - Dr. Lands - present all other GI cancers (except liver) - Fair	10:30 am - 10:45 am - Dr. Lands - present all other GI cancers (except liver) - Average	10:30 am - 10:45 am - Dr. Lands - present all other GI cancers (except liver) - Good	10:30 am - 10:45 am - Dr. Lands - present all other GI cancers (except liver) - Excellent
10:45 am - 11:00 am - Amy Wise, NP - present surgery cases	10:45 am - 11:00 am - Amy Wise, NP - present surgery cases - Poor	10:45 am - 11:00 am - Amy Wise, NP - present surgery cases - Fair	10:45 am - 11:00 am - Amy Wise, NP - present surgery cases - Average	10:45 am - 11:00 am - Amy Wise, NP - present surgery cases - Good	10:45 am - 11:00 am - Amy Wise, NP - present surgery cases - Excellent

Overall Objectives

Please rate how well the overall learning objectives were met.

	Poor	Fair	Average	Good	Excellent
Information was relevant	Information was relevant - Poor	Information was relevant - Fair	Information was relevant - Average	Information was relevant - Good	Information was relevant - Excellent
Session was organized	Session was organized - Poor	Session was organized - Fair	Session was organized - Average	Session was organized - Good	Session was organized - Excellent
Zoom offering was adequate	Zoom offering was adequate - Poor	Zoom offering was adequate - Fair	Zoom offering was adequate - Average	Zoom offering was adequate - Good	Zoom offering was adequate - Excellent
Overall evaluation of the session	Overall evaluation of the session - Poor	Overall evaluation of the session - Fair	Overall evaluation of the session - Average	Overall evaluation of the session - Good	Overall evaluation of the session - Excellent

Will you make a change in your practice?

Yes

No

What changes do you plan to make?

Was the material presented in a manner that was free from commercial bias?

Yes

No - Please describe -

Was the material presented in a manner that was free from commercial bias? No - Please describe -

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