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Question 1 of 11
1. Question
1. Your name:
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This response will be awarded full points automatically, but it will be reviewed and possibly adjusted after submission.
Grading can be reviewed and adjusted.Grading can be reviewed and adjusted. -
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Question 2 of 11
2. Question
2. In which month did you have your IUD insertion/endometrial biopsy training? [mm/yyyy]
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This response will be awarded full points automatically, but it will be reviewed and possibly adjusted after submission.
Grading can be reviewed and adjusted.Grading can be reviewed and adjusted. -
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Question 3 of 11
3. Question
3. How many IUD insertions/endometrial biopsies have you done since the training?
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This response will be awarded full points automatically, but it will be reviewed and possibly adjusted after submission.
Grading can be reviewed and adjusted.Grading can be reviewed and adjusted. -
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Question 4 of 11
4. Question
4. Did you only insert IUDs/ do endometrial biopsies on your own patients or also offer the service to other family physicians’ patients?
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This response will be awarded full points automatically, but it will be reviewed and possibly adjusted after submission.
Grading can be reviewed and adjusted.Grading can be reviewed and adjusted. -
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Question 5 of 11
5. Question
5. Did you insert on all the patients who requested IUD? Did you still refer some patients? If referral, for what conditions/cases? Please describe.
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This response will be awarded full points automatically, but it will be reviewed and possibly adjusted after submission.
Grading can be reviewed and adjusted.Grading can be reviewed and adjusted. -
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Question 6 of 11
6. Question
6. What specific change(s) did you implement?
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This response will be awarded full points automatically, but it will be reviewed and possibly adjusted after submission.
Grading can be reviewed and adjusted.Grading can be reviewed and adjusted. -
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Question 7 of 11
7. Question
7. What effect, if any, has the program had on your confidence in dealing with IUD insertion?
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This response will be awarded full points automatically, but it will be reviewed and possibly adjusted after submission.
Grading can be reviewed and adjusted.Grading can be reviewed and adjusted. -
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Question 8 of 11
8. Question
8. Did you find the program to be irrelevant to your practice? If yes, please explain.
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This response will be awarded full points automatically, but it will be reviewed and possibly adjusted after submission.
Grading can be reviewed and adjusted.Grading can be reviewed and adjusted. -
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Question 9 of 11
9. Question
9. Have you encountered specific barriers to implementing change? If yes, please explain.
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This response will be awarded full points automatically, but it will be reviewed and possibly adjusted after submission.
Grading can be reviewed and adjusted.Grading can be reviewed and adjusted. -
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Question 10 of 11
10. Question
10. How might the program have been modified to make it more helpful?
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This response will be awarded full points automatically, but it will be reviewed and possibly adjusted after submission.
Grading can be reviewed and adjusted.Grading can be reviewed and adjusted. -
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Question 11 of 11
11. Question
11. What further changes might you implement as a result of this program?
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This response will be awarded full points automatically, but it will be reviewed and possibly adjusted after submission.
Grading can be reviewed and adjusted.Grading can be reviewed and adjusted. -