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Module 3 evaluation

SELF ASSESSMENT, EVALUATION, AND CREDIT APPLICATION FORM
Let’s Talk MRSA: 20 Frequently Asked Questions
Learning Module 3: Clinical Tactics for MRSA Infections
PODCAST
Release Date: November 29, 2010 Credit Expiration Date: January 10, 2012 Center Serial #: CV3123-3
INSTRUCTIONS FOR CREDIT
1. Review the entire CME/CE information including target audience, learning objectives, and disclosures.
2. Review the Learning Module in its entirety.
3. Complete this Self Assessment, Evaluation, and Credit Application form.
4. Mail to Vemco MedEd, 245 US Highway 22, Suite 304, Bridgewater, NJ 08807 Or Fax to (908) 450-3300.
Please note that documentation of credit will be mailed within 4 weeks of receipt of this completed form.
SELF ASSESSMENT. Please select the most appropriate response.
1. _____ can be considered for skin infections due to community-associated MRSA.
2. ____ would not be recommended for a patient hospitalized with MRSA skin infection. 3. ____ is a key safety concern associated with intravenous vancomycin.
4. For the management of MRSA nosocomial pneumonia, IDSA and ATS guidelines recommend ____. 5. Antimicrobial agents recommended for MRSA catheter-related bloodstream infection are ____. 6. Vancomycin + gentamicin combination therapy has a role in the management of MRSA bacteremia and endocarditis. OVERALL EVALUATION
Somewhat
1. The following learning objectives were met.
Evaluate evidence-based strategies to select appropriate antimicrobial agents to treatcomplicated and recurrent MRSA infections Differentiate among newer anti-MRSA agents based on safety and efficacy profiles 2. The content was relevant to my practice and educational needs.
3. The activity format enhanced achievement of learning objectives. 4. This activity was fair, balanced, and without commercial bias.
If you answered “No” to any of the above, please explain.
5. Faculty: Please rate the teaching ability and subject expertise of Thomas M. File, Jr., MD, MSc, MACP, FIDSA, FCCP Excellent 6. Do you have (1) any suggestions for improving this activity or (2) any additional comments? CREDIT APPLICATION (Please Print)
Name ____________________________________________________________________________________ Degree______________________ Hospitals Others (specify)___________________________ Address _______________________________________________________________________________________________________________ City ____________________________________________________________ E-mail address ___________________________________________________________ May we contact you by e-mail? Yes No I certify that I have reviewed all seven episodes of Clinical Tactics for MRSA Infections
and claim a total of ____ credit (maximum allowed credit: 1.25).
Signature_____________________________________________________________________________________ Date________________
15 Hook Drive, Milford, NJ 08848 ●
Tel.: (908) 797-1240 ●
Fax: (908) 450-3300 ●
www.jointsponsor.com

Source: http://www.vemcomeded.com/mrsa/html/LearningModule3_Evaluation.pdf

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