Title/topic of session Presenter Date of session * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 This educational session met its stated objectives: Yes No How relevant was this educational session to team-based care provided in your clinical practice: Very Relevant Somewhat Relevant Not Relevant Explain: This educational session contributed to my professional effectiveness related to: Strongly Agree Agree Neither Agree Nor Disagree Disagree Strongly Disagree Working with an interprofessional team Working with an interprofessional team - Strongly Agree Working with an interprofessional team - Agree Working with an interprofessional team - Neither Agree Nor Disagree Working with an interprofessional team - Disagree Working with an interprofessional team - Strongly Disagree Engaging in effective interprofessional communication Engaging in effective interprofessional communication - Strongly Agree Engaging in effective interprofessional communication - Agree Engaging in effective interprofessional communication - Neither Agree Nor Disagree Engaging in effective interprofessional communication - Disagree Engaging in effective interprofessional communication - Strongly Disagree Defining the roles/responsibilities of my team members Defining the roles/responsibilities of my team members - Strongly Agree Defining the roles/responsibilities of my team members - Agree Defining the roles/responsibilities of my team members - Neither Agree Nor Disagree Defining the roles/responsibilities of my team members - Disagree Defining the roles/responsibilities of my team members - Strongly Disagree Applying values/ethics to interprofessional practice Applying values/ethics to interprofessional practice - Strongly Agree Applying values/ethics to interprofessional practice - Agree Applying values/ethics to interprofessional practice - Neither Agree Nor Disagree Applying values/ethics to interprofessional practice - Disagree Applying values/ethics to interprofessional practice - Strongly Disagree Explain how your interprofessional team will utilize the information provided during this session to improve patient care: Commercial bias is defined as a personal judgment in favor of a specific proprietary business interest of an entity that produces, markets, sells, or distributes healthcare goods or services consumed by, or used on, patients. It is important that CE activities accredited by the University of Wisconsin—Madison Interprofessional Continuing Education Partnership be free of commercial bias. If you perceived the presence of commercial bias in the education content or actions of any speaker and/or planner, please tell us here: Leave this field blank
