Please complete the following evaluation to receive your certificate. In what setting do you currently MOST OFTEN practice medicine? * Academically Corporate Group Practice Solo Practice Community/Grass-roots Government Hospital This question does not apply to me. How long have you been practicing medicine? * 0-4 years 5-9 years 10-14 years 15-20 years More than 20 years This question does not apply to me. Generally speaking, approximately what percentage of your patients are either on, or may be eligible for, opioid therapy? * 0-20% 21-40% 41-60% 61-80% 81-100% This question does not apply to me How often do you CURRENTLY use the following strategies when assessing patients before initiating opioid therapy? * AlwaysUsuallyHalf the timeSeldomNeverN/A=Does not apply to me Opioid risk assessment tools (i.e. SOAPP, ORT, DIRE) Opioid risk assessment tools (i.e. SOAPP, ORT, DIRE) - Always Opioid risk assessment tools (i.e. SOAPP, ORT, DIRE) - Usually Opioid risk assessment tools (i.e. SOAPP, ORT, DIRE) - Half the time Opioid risk assessment tools (i.e. SOAPP, ORT, DIRE) - Seldom Opioid risk assessment tools (i.e. SOAPP, ORT, DIRE) - Never Opioid risk assessment tools (i.e. SOAPP, ORT, DIRE) - N/A=Does not apply to me Patient and/or caregiver counseling Patient and/or caregiver counseling - Always Patient and/or caregiver counseling - Usually Patient and/or caregiver counseling - Half the time Patient and/or caregiver counseling - Seldom Patient and/or caregiver counseling - Never Patient and/or caregiver counseling - N/A=Does not apply to me How likely are you to implement changes and/or improvements in each of the following areas? * Very likelyLikelyNot sureUnlikelyVery unlikelyN/A=Does not apply to me Utilize available screening tools for the effective assessment of patients before initiating opioid therapy. Utilize available screening tools for the effective assessment of patients before initiating opioid therapy. - Very likely Utilize available screening tools for the effective assessment of patients before initiating opioid therapy. - Likely Utilize available screening tools for the effective assessment of patients before initiating opioid therapy. - Not sure Utilize available screening tools for the effective assessment of patients before initiating opioid therapy. - Unlikely Utilize available screening tools for the effective assessment of patients before initiating opioid therapy. - Very unlikely Utilize available screening tools for the effective assessment of patients before initiating opioid therapy. - N/A=Does not apply to me Implement opioid risk-reduction strategies based on a patient’s aberrant behavior. Implement opioid risk-reduction strategies based on a patient’s aberrant behavior. - Very likely Implement opioid risk-reduction strategies based on a patient’s aberrant behavior. - Likely Implement opioid risk-reduction strategies based on a patient’s aberrant behavior. - Not sure Implement opioid risk-reduction strategies based on a patient’s aberrant behavior. - Unlikely Implement opioid risk-reduction strategies based on a patient’s aberrant behavior. - Very unlikely Implement opioid risk-reduction strategies based on a patient’s aberrant behavior. - N/A=Does not apply to me If you intend to make changes, please explain what specific changes you anticipate. How well do you feel that the content satisfied the learning objectives? * Very well Well Barely acceptable Poorly Very poorly If you do not feel that the content was appropriate for the learning objectives, please explain. The content presented was objective, balanced, and without bias. * Yes No The presentation method for this educational content was effective for learning. * Yes No Leave this field blank
