EACCME® participant’s evaluation form – International Training Center of Genital Aesthetic

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ITCGA - Participant Feedback Form (EACCME Compliant)

Genital Aesthetic & Cosmetic Gynecology Hands-on Course

1) Event Quality

How useful was this event for your professional activity?

	Not useful (1)	Fairly useful (2)	Useful (3)	Extremely useful (4)

If this activity was not useful, please explain why:

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Event Feedback

Category	Very Poor (1)	Poor (2)	Good (3)	Excellent (4)
Programme
Organisation

What was the best aspect of this event?

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What was the worst aspect of this event?

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2) Educational Relevance

Did the event fulfil your educational goals and expected learning outcomes?

	Not at all (1)	Not much (2)	Somewhat (3)	Very much (4)

Was the presented information well balanced and consistently supported by a valid scientific evidence base?

	Not at all (1)	Not much (2)	Somewhat (3)	Very much (4)

3) Session Engagement & Format

Was there adequate time available for discussions, questions & answers and learner engagement?

	Never (1)	Only rarely (2)	Sometimes (3)	Always/Almost Always (4)

Can you indicate any innovative elements during the activity?

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4) Impact on Clinical Practice

Will the information you learnt be implemented in your practice?

	Not at all (1)	Not much (2)	Somewhat (3)	Very much (4)

Can you provide ONE example how this event will influence your future practice?

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5) Commercial Bias Assessment (EACCME Requirement)

Did all the faculty members provide their potential conflict of interest declaration with the sponsor(s) as a second slide of their presentation?

	No (1)	Yes, but only a small part (2)	Yes, for the majority (3)	Yes, all (4)

Can you provide an example of biased presentation in this activity?

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Do you agree that the information was overall free of commercial and other bias?

	Strongly disagree (1)	Rather disagree (2)	Rather agree (3)	Strongly agree (4)