Opioid SAP Feedback for Learners

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PART 1: Evaluation of Self-Assessment Session or Activity. The program met the stated learning objectives *

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Objective 1: Participants will be better able to summarize and apply the recommendations of the 2017 Canadian Opioid Guideline.	Strongly DisagreeObjective 1: Participants will be better able to summarize and apply the recommendations of the 2017 Canadian Opioid Guideline. Strongly Disagree	DisagreeObjective 1: Participants will be better able to summarize and apply the recommendations of the 2017 Canadian Opioid Guideline. Disagree	NeutralObjective 1: Participants will be better able to summarize and apply the recommendations of the 2017 Canadian Opioid Guideline. Neutral	AgreeObjective 1: Participants will be better able to summarize and apply the recommendations of the 2017 Canadian Opioid Guideline. Agree	Strongly AgreeObjective 1: Participants will be better able to summarize and apply the recommendations of the 2017 Canadian Opioid Guideline. Strongly Agree
Objective 2: Participants will be better able to manage patients with chronic pain using non-opioid pharmacological treatments such as antidepressants, anticonvulsants and simple analgesics.	Strongly DisagreeObjective 2: Participants will be better able to manage patients with chronic pain using non-opioid pharmacological treatments such as antidepressants, anticonvulsants and simple analgesics. Strongly Disagree	DisagreeObjective 2: Participants will be better able to manage patients with chronic pain using non-opioid pharmacological treatments such as antidepressants, anticonvulsants and simple analgesics. Disagree	NeutralObjective 2: Participants will be better able to manage patients with chronic pain using non-opioid pharmacological treatments such as antidepressants, anticonvulsants and simple analgesics. Neutral	AgreeObjective 2: Participants will be better able to manage patients with chronic pain using non-opioid pharmacological treatments such as antidepressants, anticonvulsants and simple analgesics. Agree	Strongly AgreeObjective 2: Participants will be better able to manage patients with chronic pain using non-opioid pharmacological treatments such as antidepressants, anticonvulsants and simple analgesics. Strongly Agree
Objective 3: Participants will be better able to select the appropriate patient with chronic pain for whom opioid treatment is indicated and titrate the dose.	Strongly DisagreeObjective 3: Participants will be better able to select the appropriate patient with chronic pain for whom opioid treatment is indicated and titrate the dose. Strongly Disagree	DisagreeObjective 3: Participants will be better able to select the appropriate patient with chronic pain for whom opioid treatment is indicated and titrate the dose. Disagree	NeutralObjective 3: Participants will be better able to select the appropriate patient with chronic pain for whom opioid treatment is indicated and titrate the dose. Neutral	AgreeObjective 3: Participants will be better able to select the appropriate patient with chronic pain for whom opioid treatment is indicated and titrate the dose. Agree	Strongly AgreeObjective 3: Participants will be better able to select the appropriate patient with chronic pain for whom opioid treatment is indicated and titrate the dose. Strongly Agree
Objective 4: Participants will be able to prevent opioid use disorder and opioid-related overdose by screening patients at risk, using structured opioid therapy, monitoring and tapering opioids.	Strongly DisagreeObjective 4: Participants will be able to prevent opioid use disorder and opioid-related overdose by screening patients at risk, using structured opioid therapy, monitoring and tapering opioids. Strongly Disagree	DisagreeObjective 4: Participants will be able to prevent opioid use disorder and opioid-related overdose by screening patients at risk, using structured opioid therapy, monitoring and tapering opioids. Disagree	NeutralObjective 4: Participants will be able to prevent opioid use disorder and opioid-related overdose by screening patients at risk, using structured opioid therapy, monitoring and tapering opioids. Neutral	AgreeObjective 4: Participants will be able to prevent opioid use disorder and opioid-related overdose by screening patients at risk, using structured opioid therapy, monitoring and tapering opioids. Agree	Strongly AgreeObjective 4: Participants will be able to prevent opioid use disorder and opioid-related overdose by screening patients at risk, using structured opioid therapy, monitoring and tapering opioids. Strongly Agree
Objective 5: Participants will be able to safely switch from one opioid to another.	Strongly DisagreeObjective 5: Participants will be able to safely switch from one opioid to another. Strongly Disagree	DisagreeObjective 5: Participants will be able to safely switch from one opioid to another. Disagree	NeutralObjective 5: Participants will be able to safely switch from one opioid to another. Neutral	AgreeObjective 5: Participants will be able to safely switch from one opioid to another. Agree	Strongly AgreeObjective 5: Participants will be able to safely switch from one opioid to another. Strongly Agree
Objective 6: Participants will be able to identify patients for whom titration is appropriate for and safely taper and discontinue their opioid medication.	Strongly DisagreeObjective 6: Participants will be able to identify patients for whom titration is appropriate for and safely taper and discontinue their opioid medication. Strongly Disagree	DisagreeObjective 6: Participants will be able to identify patients for whom titration is appropriate for and safely taper and discontinue their opioid medication. Disagree	NeutralObjective 6: Participants will be able to identify patients for whom titration is appropriate for and safely taper and discontinue their opioid medication. Neutral	AgreeObjective 6: Participants will be able to identify patients for whom titration is appropriate for and safely taper and discontinue their opioid medication. Agree	Strongly AgreeObjective 6: Participants will be able to identify patients for whom titration is appropriate for and safely taper and discontinue their opioid medication. Strongly Agree
The program content was relevant to my discipline/profession	Strongly DisagreeThe program content was relevant to my discipline/profession Strongly Disagree	DisagreeThe program content was relevant to my discipline/profession Disagree	NeutralThe program content was relevant to my discipline/profession Neutral	AgreeThe program content was relevant to my discipline/profession Agree	Strongly AgreeThe program content was relevant to my discipline/profession Strongly Agree
The program content met my expectations	Strongly DisagreeThe program content met my expectations Strongly Disagree	DisagreeThe program content met my expectations Disagree	NeutralThe program content met my expectations Neutral	AgreeThe program content met my expectations Agree	Strongly AgreeThe program content met my expectations Strongly Agree
The program content Was well organized	Strongly DisagreeThe program content Was well organized Strongly Disagree	DisagreeThe program content Was well organized Disagree	NeutralThe program content Was well organized Neutral	AgreeThe program content Was well organized Agree	Strongly AgreeThe program content Was well organized Strongly Agree
The program content Disclosure of potential conflicts of interest was clearly communicated	Strongly DisagreeThe program content Disclosure of potential conflicts of interest was clearly communicated Strongly Disagree	DisagreeThe program content Disclosure of potential conflicts of interest was clearly communicated Disagree	NeutralThe program content Disclosure of potential conflicts of interest was clearly communicated Neutral	AgreeThe program content Disclosure of potential conflicts of interest was clearly communicated Agree	Strongly AgreeThe program content Disclosure of potential conflicts of interest was clearly communicated Strongly Agree
The program content I will use the information I learned in my practice	Strongly DisagreeThe program content I will use the information I learned in my practice Strongly Disagree	DisagreeThe program content I will use the information I learned in my practice Disagree	NeutralThe program content I will use the information I learned in my practice Neutral	AgreeThe program content I will use the information I learned in my practice Agree	Strongly AgreeThe program content I will use the information I learned in my practice Strongly Agree
The program content *Was balanced	Strongly DisagreeThe program content *Was balanced Strongly Disagree	DisagreeThe program content *Was balanced Disagree	NeutralThe program content *Was balanced Neutral	AgreeThe program content *Was balanced Agree	Strongly AgreeThe program content *Was balanced Strongly Agree
The program content Enhanced my knowledge	Strongly DisagreeThe program content Enhanced my knowledge Strongly Disagree	DisagreeThe program content Enhanced my knowledge Disagree	NeutralThe program content Enhanced my knowledge Neutral	AgreeThe program content Enhanced my knowledge Agree	Strongly AgreeThe program content Enhanced my knowledge Strongly Agree
The program content Feedback on knowledge was adequate	Strongly DisagreeThe program content Feedback on knowledge was adequate Strongly Disagree	DisagreeThe program content Feedback on knowledge was adequate Disagree	NeutralThe program content Feedback on knowledge was adequate Neutral	AgreeThe program content Feedback on knowledge was adequate Agree	Strongly AgreeThe program content Feedback on knowledge was adequate Strongly Agree
The program content Adequate resources for further learning were provided	Strongly DisagreeThe program content Adequate resources for further learning were provided Strongly Disagree	DisagreeThe program content Adequate resources for further learning were provided Disagree	NeutralThe program content Adequate resources for further learning were provided Neutral	AgreeThe program content Adequate resources for further learning were provided Agree	Strongly AgreeThe program content Adequate resources for further learning were provided Strongly Agree

Please rate the following aspects of the program/activity. By ‘balanced’, we mean that all options and points of view are given impartially with appropriate evidence.

Did you perceive any degree of bias in any part of the program? *

What was the most effective part of the session/program? Why? *

The session/program will encourage me to consider changes in my current practice *

YES: The changes I am considering are: (please describe down below)
No I do not see the need to make changes to my current practice.
No I am thinking about changes and have the necessary resources but not ready to make them yet
No I am already implementing recommended practices
No The information was not relevant to me
NoI do not have the required resources to implement these changes

What was the least effective part of the session/program? Why? *

What suggestions do you have for improving the program/session? *

Please list any topics you would like to see addressed in future sessions/programs:

For physicians only: please indicate which CanMEDS/CanMEDS-FM roles you felt were addressed during this session? (this is a required question for physicians only)

PART 2: About You

What attracted you to attending this program/conference (Please select all that apply). *