You can fill this form out online or download a paper copy to fill out and send in. Evaluation Form 2019 Evaluation Form 2019 NMHR 27th ANNUAL HEALTH PROVIDER RETREAT May 31 - June 1, Hyatt Regency Tamaya Resort, Santa Ana Pueblo, New Mexico First Name * Last Name * Email Please Check One MD DO DDS DMD RN LPN RDH Dental Assistant PhD FNP PA CHW PharmD Student CNM Medical Director Administor OtherOther Please rate the effectiveness of each speaker: 1 = Not at all Satisfied 2= Somewhat Satisfied 3 = Almost completely Satisfied 4 = Completely Satisfied Friday, May 31, 2019 A. 8:00am - Why Normal Still Isn't Healthy A. Attended this session * Yes No Bowen White, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives Participants will see: how to have a healthier relationship with themselves instead of being their own worst enemies: • how to have healthier relationships with others without those folks changing • how to get better at what they do because we can all get better and help others do the same • how can we have more fun getting better Were the objectives met? Yes No If no, please explain B. 9:00am - Clinician Burnout & Resiliency B. Attended this Session * Yes No Eileen Barrett, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • that attendees understand burnout as a public health problem • that attendees recognize resources available to them to reduce burnout • that attendees practice skills and tools to build professional fulfillment and decrease burnout Were the objectives met? Yes No If no, please explain C. 10:30am - HPV/Oropharyngeal-Cancer C.Attended this Session * Yes No Nicole Williams, CNP star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars J.D. Rayl, CNP star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Adam Newman, PAC star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars John Simpson, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Azeem Vasi, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • State the most common oropharyngeal site(s) for HPV associated cancer. • Discuss the broad differences between HPV associated and non-associated oropharyngeal cancers. • Identify the most common symptoms and treatment modalities for HPV related/p16+ oropharyngeal cancers Were the objectives met? Yes No If no, please explain D. 10:00am - HIPAA Training D. Attended this Session * Yes No Adrienne R. Smith star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Participants will understand how HIPAA is essential to their job. • Participants will know definition of HIPAA and PHI. • Participants will learn at least 3 instances of HIPAA violation. Were the objectives met? Yes No If no, please explain E. 1:00pm - Forensic Dentistry E. Attended this Session * Yes No Melinda Hall, DDS star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Understand the role of the forensic odontologist including identification of the deceased, age assessment, bitemark analysis and civil litigation. • Recognize signs and symptoms of abuse. • Understand the importance of dental records in forensic cases. Were the objectives met? Yes No If no, please explain F. 1:00pm – In Office Management of Urinary Incontinence F. Attended this Session * Yes No Sara Cichowski, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • To describe the pathophysiology and epidemiology of female urinary incontinence • To review behavioral interventions and life style modifications for the treatment urinary incontinence • To review the pharmacotherapy option for urinary incontinence Were the objectives met? Yes No If no, please explain G. 1:00pm – Cardiovascular Disease & Diabetes-Making the Connection G. Attended this Session * Yes No Ryan Sanchez, MPH star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Have the audience learn more about heart disease and diabetes in general, including its risk factors, prevention/management strategies, and what the New Mexico Department of Health is currently working on to address these chronic diseases. • Identify and discuss the intersect between heart disease and diabetes, including shared risk factors and common prevention/management strategies. • Discuss the importance of self-measured blood pressure monitoring and its benefits for those with high blood pressure. Were the objectives met? Yes No If no, please explain H. 2:00pm – Cultural Competence in Health Care & Women of Color H. Attended this Session * Yes No Aamna Nayyar star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Define optimal health and women of color • Explain the role of cultural competency in addressing health disparities and the care of racial/ethnic and vulnerable women populations. • Explain why examples of culturally competent approaches are relevant to healthcare concerns Were the objectives met? Yes No If no, please explain I. 3:30pm This is Your Mouth on Drugs: Illicity Substance Abuse I. Attended this Session * Yes No Catherine Flaitz, DDS star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Identify the most common legal and illicit medications and substances and how they are used. • Recognize the main orofacial and dental side effects of these substances. • Be familiar with the key dental treatment considerations for managing patients with substance abuse disorders. Were the objectives met? Yes No If no, please explain J. 3:30pm – Medication Assisted Treatment, Opiate Dependency J. Attended this Session * Yes No Levi Maes, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Jodi Casados, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Understanding the basic medical assisted treatment options for opiate dependency • Understanding the importance of a medical assisted treatment program in rural Northern New Mexico • Understanding the challenges related to treatment options and access to patients in rural communities in Northern New Mexico Were the objectives met? Yes No If no, please explain K. 3:30pm – QPR Gatekeeper: Suicide Prevention K. Attended this Session * Yes No Shayna Klassen star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Valerie Lopez star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Victoria Waugh-Reed star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Participants will be able to list the risk factors of suicide • Participants will be able to list the warning signs of suicide • Participants will be competent in the prevention techniques and have access to local and national resources Were the objectives met? Yes No If no, please explain Saturday, Jun 1, 2019 L. 8:00am – The CARA Safe Plan (Coordinated Approaches for the Care of Women with Substance use in Pregnancy) L. Attended this Session * Yes No Andrew Hsi, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Janis Gonzales, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Cynthia Chavers star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Susan Merrill star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Key changes that CARA makes in the CAPTA laws. • Name the three strategies in the NM Approach. • Name a ‘best practice’ in coordinating care for pregnant women. Were the objectives met? Yes No If no, please explain M. 9:30am – Pitfalls of Sedation M. Attended this Session * Yes No Jason R. Flores, DDS star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Discuss airway partial/potential complete loss of protective reflexes • Reasons for Moderate Sedation failure • Discuss patients with unconventional stress responses, i.e. Post-Traumatic Stress Disorder/HIV, and why sedations fail. Were the objectives met? Yes No If no, please explain N. 9:30am – Pain Addiction and Suffering: How to Tell the Difference N. Attended this Session * Yes No Corey Waller, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Learners will understand the appropriate approach to pain • Learners will understand how to identify addiction • Learners will understand how to distinguish suffering from pain and addiction Were the objectives met? Yes No If no, please explain O. 9:30am – Effects of Social Media on Teens O. Attended this Session * Yes No Shayna Klassen star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars James "Jim" Farmer star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Participants will be able to classify the beneficial and detrimental effects of social media • Participants will discuss the beneficial and detrimental effects of social media and how it relates to their practices • Participants will generate two strategies for positive use of social media in their schools or communities Were the objectives met? Yes No If no, please explain P. 10:45am – Current Concepts in Preventive Analgesia for Dental Procedures P. Attended this Session * Yes No Lionel M. Candelaria, DDS star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Review of preoperative, intraoperative analgesic strategies to reduce postoperative pain • Opioid sparing post operative pain protocols. • An understanding of the pharmacology and risks Opioids. • Review of pharmacology and side effects Non-Narcotic analgesics. Were the objectives met? Yes No If no, please explain Q. 10:45am – Abnormal Uterine Bleeding Work Up and Evaluation Q. Attended this Session * Yes No Seddah Moya, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Review common causes of abnormal uterine bleeding • Review steps of evaluation of abnormal uterine bleeding • Review treatment options of abnormal uterine bleeding Were the objectives met? Yes No If no, please explain R. 10:45am – Breathing Easy: Asthma R. Attended this Session * Yes No Matthew Cross star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Participants will learn asthma basics including physiology and symptoms. • Participants will gain awareness of the triggers that provoke asthma symptoms. • Participants will learn how the Asthma Control Test and Asthma Action Plan are used. Were the objectives met? Yes No If no, please explain S. 1:00pm – CBCT & Diagnosis in Dentistry S. Attended this Session * Yes No Caroline Chang, DDS star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars David Chen, DDS star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Jay Dainty, DDS star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Patrick Hooper, DDS star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Brittany McDaniel, DDS star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Eric Palmer, DDS star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Angela Svaan, DDS star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Identify indications for CBCT assessment • Identify scope of diagnosis of CBCT data • Identify limitations of CBCT data Were the objectives met? Yes No If no, please explain T. 1:00pm – Going Green: Navigation Medical Cannabis with Confidence T. Attended this Session * Yes No Maya Armstrong, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Identify patients who may benefit from medical cannabis and who would qualify for certification for medical use in New Mexico. • Successfully navigate the process of certification for a medical cannabis card. • Educate patients (and peers) about the evidence for the safety and efficacy of medical cannabis as well as the limitations of our current knowledge. Were the objectives met? Yes No If no, please explain U. 1:00PM – The Difference Between Bullying & Peer Conflict U. Attended this Session * Yes No Shayna Klassen star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars James “Jim” Farmer star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • Participants will be able to list the characteristics of peer conflict • Participants will be able to list the characteristics of bullying • Participants will be able to identify ways to respond to peer conflict and bullying in their schools Were the objectives met? Yes No If no, please explain V. 2:00PM – OPMD-New Mexico’s Family Curse V. Attended this Session * Yes No Luis Rigales, MD star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Objectives • -review the incidence and prevalence of OPMD • -characterize the clinical, genetic and demographic features of OPMD • -review resources for patients for OPMD in New Mexico Were the objectives met? Yes No If no, please explain Overall Objective Was the overall objective of enhancing the skills and knowledge of healthcare providers on the various administrative, medical, community health worker and dental topics met? Yes No Comments? What changes do you plan to make in you practice, as a result of this conference? What changes do you plan to make in your practice, as a result, of this conference? What barriers would there be to implementing these changes? Using the following scale, please provide your rating: 1 = Not at all satisfied 2 = Somewhat satisfied 3 = Almost completely satisfied 4 = Completely satisfied How effective was our faculty? star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Please indicate your overall satisfaction with the Retreat. star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars This program delivered balanced and objective, evidence-based content. star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Did the Retreat meet your personal objectives? star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars How much will what you have learned here affect your practice? star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars The time frame in which the course was presented was appropriate? star star_full 1 Star star star_full 2 Stars star star_full 3 Stars star star_full 4 Stars Did you feel there was any commercial bias in the educational presentations of this Retreat? Yes No Please Explain Did you think the Retreat fee was commensurate with the educational value of the Retreat? Yes No How did you learn of the Retreat? (please specify) General Comments Future Topics & Sites Submit