1 Start 2 Complete

Please complete each of the following questions

what is your practice setting? *

SelectCorrectional FacilitiesFederal GovernmentHospital/ClinicMilitaryPharmaceutical/Biotech IndustryState/Local GovernmentUniversity/Medical SchoolPrivate/Group PracticeOther

what is your practice type? *

SelectAdministrationBasic ResearchClinical MicrobiologyClinical ResearchHospital EpidemiologyPatient CarePublic HealthTeaching/EducationOther

Please indicate the degree to which you agree or disagree with the following statements about this module: *

	Strongly disagree	Disagree	Neutral	Agree	Strongly agree
I identified, treated, and prevented HCV infections in my community	I identified, treated, and prevented HCV infections in my community - Strongly disagree	I identified, treated, and prevented HCV infections in my community - Disagree	I identified, treated, and prevented HCV infections in my community - Neutral	I identified, treated, and prevented HCV infections in my community - Agree	I identified, treated, and prevented HCV infections in my community - Strongly agree
I enhanced my understanding of current HCV screening and treatment practices	I enhanced my understanding of current HCV screening and treatment practices - Strongly disagree	I enhanced my understanding of current HCV screening and treatment practices - Disagree	I enhanced my understanding of current HCV screening and treatment practices - Neutral	I enhanced my understanding of current HCV screening and treatment practices - Agree	I enhanced my understanding of current HCV screening and treatment practices - Strongly agree
I applied screening and treatment guidelines to patient care	I applied screening and treatment guidelines to patient care - Strongly disagree	I applied screening and treatment guidelines to patient care - Disagree	I applied screening and treatment guidelines to patient care - Neutral	I applied screening and treatment guidelines to patient care - Agree	I applied screening and treatment guidelines to patient care - Strongly agree

Please answer the following *

	No	Maybe	Yes
The module was free from commercial bias	The module was free from commercial bias - No	The module was free from commercial bias - Maybe	The module was free from commercial bias - Yes
Questions in the module are clearly stated	Questions in the module are clearly stated - No	Questions in the module are clearly stated - Maybe	Questions in the module are clearly stated - Yes
Figures/illustrations are of high quality	Figures/illustrations are of high quality - No	Figures/illustrations are of high quality - Maybe	Figures/illustrations are of high quality - Yes
The module was relevant to my practice	The module was relevant to my practice - No	The module was relevant to my practice - Maybe	The module was relevant to my practice - Yes
Will you implement changes in your clinical methodology as a result of this activity?	Will you implement changes in your clinical methodology as a result of this activity? - No	Will you implement changes in your clinical methodology as a result of this activity? - Maybe	Will you implement changes in your clinical methodology as a result of this activity? - Yes
If you answered “yes” or “maybe” to the previous question, please describe the change(s) you intend to make.	If you answered “yes” or “maybe” to the previous question, please describe the change(s) you intend to make. - No	If you answered “yes” or “maybe” to the previous question, please describe the change(s) you intend to make. - Maybe	If you answered “yes” or “maybe” to the previous question, please describe the change(s) you intend to make. - Yes

if "yes" or "maybe"

Estimate the percentage of questions in this module for which you used educational resources *

0%

1-20%

21-0%

41-60%

61-80%

81-100%

Estimate the amount of time it took you to complete this module: *

0-5 hours

5-10 hours

10-15 hours

more than 15 hours

After completing this assessment *

	No	Maybe	Yes
I Identified gaps in infectious diseases medical knowledge where further study is needed for board preparation and patient management	I Identified gaps in infectious diseases medical knowledge where further study is needed for board preparation and patient management - No	I Identified gaps in infectious diseases medical knowledge where further study is needed for board preparation and patient management - Maybe	I Identified gaps in infectious diseases medical knowledge where further study is needed for board preparation and patient management - Yes
I improved my competence in the area of infectious diseases medicine regarding diagnosis, treatments, and other aspects of patient management	I improved my competence in the area of infectious diseases medicine regarding diagnosis, treatments, and other aspects of patient management - No	I improved my competence in the area of infectious diseases medicine regarding diagnosis, treatments, and other aspects of patient management - Maybe	I improved my competence in the area of infectious diseases medicine regarding diagnosis, treatments, and other aspects of patient management - Yes
I evaluated and revised patient management strategies	I evaluated and revised patient management strategies - No	I evaluated and revised patient management strategies - Maybe	I evaluated and revised patient management strategies - Yes
I improve clinical decision-making skills in infectious diseases medicine	I improve clinical decision-making skills in infectious diseases medicine - No	I improve clinical decision-making skills in infectious diseases medicine - Maybe	I improve clinical decision-making skills in infectious diseases medicine - Yes

Additional Comments:

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