Migrant Clinicians Network

Pesticides and Farmworkers National Webinar Training Evaluation

Pesticides and Farmworkers
Matthew C. Keifer, MD, MPH
National Webinar

Training Evaluation

Please complete this evaluation questionnaire. Your response will be used to revise this activity and to plan future educational activities. In addition, your continuing education certificate will be mailed to you.

Contact Information

First Name: *

Last Name: *

Credentials:

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Zip Code: *

Email: *

1 = Not at all 2 = Somewhat 3 = Almost completely 4 = Completely

1. Rate your achievement of the following objectives: *

	1	2	3	4
a) Report three important historical facts about pesticides
b) Explain the toxicological mechanism of important groups of pesticides
c) Identify the barriers that limit clinical testing for pesticide overexposure
d) Organize clinical observations that help confirm pesticide overexposure
e) List factors that make pesticide poisoning diagnosis and management more challenging in immigrant farm workers
f) Name existing antidotal approaches to pesticide induced illnesses

2. Please comment on your satisfaction regarding: *

	Poor	Acceptable	Good	Very Good	Excellent
a) The presentation by Matthew Keifer MD, MPH
b) The expertise/scholarship of Matthew Keifer, MD, MPH
c) Overall content of the workshop

3. Did the workshop: *

	Not at all	Rarely	Somewhat	Often	Entirely
a) Present new areas of knowledge or new ideas/methods to implement?
b) Present information that is relevant to your work?
c) Prepare you adequately for problems that may occur in practice?
d) Contain information at a level commensurate with your training and experience?

4. Name at least one thing you think you will do differently based on what you learned from the workshop: *

5. What other training or resources needs do you have?:

6. Comments: