1 Start 2 Complete Degree to which the following objectives were met * Excellent= addressed gaps in knowledge and/or offered strategies I will apply Good= addressed gaps in knowledge and/or offered some strategies I will consider applying Fair= reinforced current knowledge and/or strategies I currently apply Poor= provided no new knowledge or strategies I can apply ExcellentGoodFairPoor Provide practical strategies and tools to assist clinicians caring for children in a primary care setting Provide practical strategies and tools to assist clinicians caring for children in a primary care setting - Excellent Provide practical strategies and tools to assist clinicians caring for children in a primary care setting - Good Provide practical strategies and tools to assist clinicians caring for children in a primary care setting - Fair Provide practical strategies and tools to assist clinicians caring for children in a primary care setting - Poor Update and review current pediatric best practices and hot topics in a variety of subject areas Update and review current pediatric best practices and hot topics in a variety of subject areas - Excellent Update and review current pediatric best practices and hot topics in a variety of subject areas - Good Update and review current pediatric best practices and hot topics in a variety of subject areas - Fair Update and review current pediatric best practices and hot topics in a variety of subject areas - Poor Join together with local and national pediatric experts to inspire changes in your practice Join together with local and national pediatric experts to inspire changes in your practice - Excellent Join together with local and national pediatric experts to inspire changes in your practice - Good Join together with local and national pediatric experts to inspire changes in your practice - Fair Join together with local and national pediatric experts to inspire changes in your practice - Poor How will this activity impact your performance within your role in the healthcare team * What barriers will prevent you from making changes in your clinical practice? Check all that apply * Select all that may apply: Clinical Application System Redesign Need for More Training Resources Available Management Priorities Resistance to Change Reimbursement Issues Time Constraints Other not listed above: What barriers will prevent you from making changes in your clinical practice? Check all that apply Other not listed above: Indicate your years of practice within your current healthcare role * 0-2 years 3-5 years 6-10 years 11-20 years 20+ years Please rate the overall course * Excellent= addressed gaps in knowledge and/or offered strategies I will apply Good= addressed gaps in knowledge and/or offered some strategies I will consider applying Fair= reinforced current knowledge and/or strategies I currently apply Poor= provided no new knowledge or strategies I can apply Excellent Good Fair Poor I attended: * Day 1 Day 2 Both Day 1 and Day 2 What factors influenced your decision to register for this year’s conference? Select all that apply: * Clinical Schedule Course content Option to attend either one day or both days Repeat Attendance Other not listed above: What factors influenced your decision to register for this year’s conference? Select all that apply: Other not listed above: For in-person planning, I would prefer the location to be * Select from the options below. Minneapolis St. Paul Outside of the metro area - destination location Do you have suggestions for venue options? Please select your preference for day planning: * We have historically hosted this conference as a two-day event. As we look ahead to 2026, please select the days that would work best for you. Thursday and Friday Friday and Saturday Friday only Tuesday, Wednesday, or Thursday All options work for me Other ideas: Please select your preference for day planning: Other ideas: How far in advance do you need to request time off to attend the conference? * less than 3 months 3-6 months 6-9 months more than 9 months Looking ahead, what 3 topic areas would you like to learn more about and why? * Please provide 3 topic areas you would like to learn more about and why. This information helps the planning committee to determine/plan the highest need topics for future conferences. Would you be interested in being a member of a future planning committee for this conference? * Yes No Please enter name and email address: * Additional comments or suggestions Leave this field blank
