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Teaching Type —Please choose an option—Grand RoundsNeurology Lecture SeriesJournal ClubClinical RoundsMedical School TeachingInvited LectureSCH Neurology Lecture SeriesSCH OtherSleep Conference SeriesOther
Speaker/Educator —Please choose an option—OtherJay Alexander, MDKevin Alschuler, PhDCatherine Amlie-Lefond, MDBrien Barrett, ARNPGiulia Benedetti, MDNiclas Bengtsson, PhDCharles Bernick, MDThomas Bird, MDHeidi Blume, MDXiuhua Liang Bozarth, MD, PhDDonald Bright, MDTheodore Bushnell, MDJeffery Carroll, Ph.D.Jeff Chamberlain, PhDDarla Chapman, ARNPChristine Cheah, PhDDenise Chen, M.D.Dong-Hui Chen, MD, PhDAndrea Cheng-Hakimian, MDFlavia Consens, MDClaire Creutzfeldt, MDJulie Crudele, PhDAmi Cuneo MDArielle Davis, MDBevan DavisMarie Y. Davis, MD, PhDLourdes DelRosso, MDJane Distad, MDKimiko Domoto-Reilly, MDDon Elbert, Ph.D.Behnaz Esmaeili, MDGary Franklin, MDJerome Graber, MD, MPHThomas Grabowski, MDBenjamin Grannan, MDSupaksh Gupta, MDJuliane Gust, MD, PhDShahin Hakimian, MDLorie Hamiwka, MDJessica Hauser Chatterjee, M.D., Ph.D.Leif Havton, MD, PhDAlicia Henriquez, MDJai S. Hira, MDFuki Hisama, MDMark Holmes, MDShu-Ching (Gene) Hu, MD, PhDAndrew Huffer, MDJeffrey Iliff, PhDSuman Jayadev, MDSimon Johnson, PhDRizwan Kalani, MDVishesh Kapur, MD, MPHMichelle Kerr, MDSandeep Khot, MD, MPHMike Kim, MDMichelle Kim, PhDMarc Kirschner, MDRyan Kiser, M.D.Peter Kollros, MD, PhDEric Kraus, MDThabele (Bay) Leslis-Mazwi, MDAnny Lin, MDVictor Lin, M.D.Jason Lockrow, MD, PhDWill Longstreth, MDOswaldo Lorenzo Betancor, MDMaxwell Ma, MDChristina Marra, MDAshley McDonough, PhDTresa McGranahan, MD, PhDDararat "Pam" Mingbunjerdsuk, MDPriya Monrad, MDLindsey Morgan, MDWolfgang Muhlhofer, M.D., MSHSNatalia Murinova, MDNina Natarajan, MDThuhien Nguyen, MDEdward (Rusty) Novotny, MDPatricia Oakes, MD,JDJohn Oakley, MD, PhDGuy Odom, PhDIfeoma Oriaku, MDCatherine Otten, MDJames Owens, MD, PhDCarolyn Parsey, PhDPayal Patel, MDShanta Pillai, DOPriyank Patel, MDKristina Patrick, PhDSeth Perlman, MDMichael Persenaire, MDNicholas Poolos, MD, PhDKatherine Prater, PhDMatthew Preston, MDStephanie C. Randle, MDChristopher Ransom, MD, PhDKristoffer Rhoads, PhDElena Robinson, MDMeghan Romba, MD, MScSomayyeh Sabet, MDAli Samii, MDRussell Saneto, Ph.D., D.O.Aimee Sato, MDMalveeka Sharma, MD, MPHTara Sharma, DONorman K. So, MBB ChirYoung-Bin Song, PA-CBill Spain, MDKyle Steinman, MDGary A. Stobbe, MDKimmy Su, MD, PhDPhillip Swanson, MD, PhDStephen Tapscott, MD, PhDBreana Taylor, MDLynne Taylor, MDDavid Tirschwell, MD, MScKaren Torres, PsyDJeffrey Tsai, MD, PhDHannah Tully, MDBarbara Vickrey, MD, MPHGloria von Geldern, MDSarah Wahlster, MDMark Wainwright, MD, PhDCaroline Walker, DNP, ARNPLeo Wang, MD, PhDYujie Wang, MDNathaniel Watson, MD, MScNatalie Weathered, MDJon Weinstein, MD, PhDElizabeth Viglianti, MD, MPH, MScMichael Weiss, MDMichael Williams, MDAnnette Wundes,MDClaire Yang, MDCyrus Zabetian, MDJoe Zunt, MD, MPH
[group other-speaker default:get]*Educator's Name: [/group]
Title/Topic Date of Teaching
Were the teaching objectives met? YesNo
Was the content free of commercial bias? 5 - excellent4 - very good3 - good2 - fair1 - poor
Was the content relevant to you? 5 - excellent4 - very good3 - good2 - fair1 - poor
How would you rank the clarity and organization of presentation? 5 - excellent4 - very good3 - good2 - fair1 - poor
How would you rank use of instructional resource (powerpoint, video, etc)? 5 - excellent4 - very good3 - good2 - fair1 - poorN/A
Was there enough time to address audience questions? 5 - excellent4 - very good3 - good2 - fair1 - poor
How would you rank overall teaching effectiveness? 5 - excellent4 - very good3 - good2 - fair1 - poor
Will you make changes in your practice based on the content? YesNoN/A
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