Schwartz Rounds 2022-2023 Evaluation Questions

1. Please check the box that best reflects your opinion about each of the following statements: *

This interprofessional activity:

	No	Yes	Not Sure
During this session, attendees discussed challenging social and emotional aspects of patient care.	During this session, attendees discussed challenging social and emotional aspects of patient care. - No	During this session, attendees discussed challenging social and emotional aspects of patient care. - Yes	During this session, attendees discussed challenging social and emotional aspects of patient care. - Not Sure
Today’s discussion gave me new insights into the perspectives and experiences of my co-workers.	Today’s discussion gave me new insights into the perspectives and experiences of my co-workers. - No	Today’s discussion gave me new insights into the perspectives and experiences of my co-workers. - Yes	Today’s discussion gave me new insights into the perspectives and experiences of my co-workers. - Not Sure
Today’s discussion gave me new insights into the perspectives and experiences of patients and/or families.	Today’s discussion gave me new insights into the perspectives and experiences of patients and/or families. - No	Today’s discussion gave me new insights into the perspectives and experiences of patients and/or families. - Yes	Today’s discussion gave me new insights into the perspectives and experiences of patients and/or families. - Not Sure
As a result of this discussion I feel better prepared to handle tough or sensitive patient situations.	As a result of this discussion I feel better prepared to handle tough or sensitive patient situations. - No	As a result of this discussion I feel better prepared to handle tough or sensitive patient situations. - Yes	As a result of this discussion I feel better prepared to handle tough or sensitive patient situations. - Not Sure
As a result of this discussion I feel less isolated in my work with patients.	As a result of this discussion I feel less isolated in my work with patients. - No	As a result of this discussion I feel less isolated in my work with patients. - Yes	As a result of this discussion I feel less isolated in my work with patients. - Not Sure
As a result of this discussion I feel more open to expressing thoughts, questions and feelings about patient care with colleagues.	As a result of this discussion I feel more open to expressing thoughts, questions and feelings about patient care with colleagues. - No	As a result of this discussion I feel more open to expressing thoughts, questions and feelings about patient care with colleagues. - Yes	As a result of this discussion I feel more open to expressing thoughts, questions and feelings about patient care with colleagues. - Not Sure
I plan to attend Schwartz Center Rounds again.	I plan to attend Schwartz Center Rounds again. - No	I plan to attend Schwartz Center Rounds again. - Yes	I plan to attend Schwartz Center Rounds again. - Not Sure
The discussion was well-facilitated.	The discussion was well-facilitated. - No	The discussion was well-facilitated. - Yes	The discussion was well-facilitated. - Not Sure
Today's discussion suggests that changes may be needed in departmental or institutional policies or practices.	Today's discussion suggests that changes may be needed in departmental or institutional policies or practices. - No	Today's discussion suggests that changes may be needed in departmental or institutional policies or practices. - Yes	Today's discussion suggests that changes may be needed in departmental or institutional policies or practices. - Not Sure
Today’s program was free of commercial bias.	Today’s program was free of commercial bias. - No	Today’s program was free of commercial bias. - Yes	Today’s program was free of commercial bias. - Not Sure

2. List two ways in which today’s discussion will change how you relate to or communicate with patients and/or colleagues (if any): *

3. Overall Rating of the Interprofessional Activity *

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	N/A Not Applicable
Addressed team learning needs. “For the Team, by the Team”	Addressed team learning needs. “For the Team, by the Team” - Strongly Disagree	Addressed team learning needs. “For the Team, by the Team” - Disagree	Addressed team learning needs. “For the Team, by the Team” - Neutral	Addressed team learning needs. “For the Team, by the Team” - Agree	Addressed team learning needs. “For the Team, by the Team” - Strongly Agree	Addressed team learning needs. “For the Team, by the Team” - N/A Not Applicable
Was reflective of an interprofessional approach in development and delivery.	Was reflective of an interprofessional approach in development and delivery. - Strongly Disagree	Was reflective of an interprofessional approach in development and delivery. - Disagree	Was reflective of an interprofessional approach in development and delivery. - Neutral	Was reflective of an interprofessional approach in development and delivery. - Agree	Was reflective of an interprofessional approach in development and delivery. - Strongly Agree	Was reflective of an interprofessional approach in development and delivery. - N/A Not Applicable
Was engaging and/or interactive.	Was engaging and/or interactive. - Strongly Disagree	Was engaging and/or interactive. - Disagree	Was engaging and/or interactive. - Neutral	Was engaging and/or interactive. - Agree	Was engaging and/or interactive. - Strongly Agree	Was engaging and/or interactive. - N/A Not Applicable
Provided skills, strategies, and new behaviors that will benefit the healthcare team of which I am a member.	Provided skills, strategies, and new behaviors that will benefit the healthcare team of which I am a member. - Strongly Disagree	Provided skills, strategies, and new behaviors that will benefit the healthcare team of which I am a member. - Disagree	Provided skills, strategies, and new behaviors that will benefit the healthcare team of which I am a member. - Neutral	Provided skills, strategies, and new behaviors that will benefit the healthcare team of which I am a member. - Agree	Provided skills, strategies, and new behaviors that will benefit the healthcare team of which I am a member. - Strongly Agree	Provided skills, strategies, and new behaviors that will benefit the healthcare team of which I am a member. - N/A Not Applicable
Contributed to my professional growth.	Contributed to my professional growth. - Strongly Disagree	Contributed to my professional growth. - Disagree	Contributed to my professional growth. - Neutral	Contributed to my professional growth. - Agree	Contributed to my professional growth. - Strongly Agree	Contributed to my professional growth. - N/A Not Applicable

4. What changes do you intend to make in your individual and team practice as a result of this activity? Please list one or two changes in each category. *

5. How do you see team members roles’ changing as a result of this activity? State two changes. *

6. Was the content presented at this activity balanced and free from commercial bias? *

Yes

No

6a. If No, Please explain

7. Do you have specific suggestions as to how this activity might be improved?

8. What specific topics in this subject area would you like us to cover in future programs?, including ideas for future topics: (If you’d like to share input with the Planning Committee member about your ideas, please provide your name and contact info.)

9. Please indicate how your overall knowledge/skill level has changed as a result of this activity *

	Very Low	Low	Moderate	High	Very High
Before the Activity	Before the Activity - Very Low	Before the Activity - Low	Before the Activity - Moderate	Before the Activity - High	Before the Activity - Very High
After the Activity	After the Activity - Very Low	After the Activity - Low	After the Activity - Moderate	After the Activity - High	After the Activity - Very High

10. Check your professional affiliation Other...please specify

Demographics:
In order to improve upon our Schwartz Rounds and ensure that they are reaching a broad range of the BWH community, we are collecting voluntary demographic information to see where we need to improve outreach

11. Race (please select one)

11. Race (please select one) Other...please specify

12.Ethnicity (please select one)

Hispanic

Other...

12.Ethnicity (please select one) Other...

13.Primary language (please select one)

English

Spanish

Other...please specify

13.Primary language (please select one) Other...please specify

Thank you for your feedback - Would you like to present at a future Schwartz rounds? (If so, please email BWH Schwarts Rounds at bwhschwartzrounds@partners.org

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Schwartz Rounds 2022-2023 Evaluation Questions