RPhA's Destination Health CE Submission Form - Virginia Pharmacy Association

Thank you for attending RPhA’s Destination: Health. The Ins and Outs of Traveling Smart.

Please complete the the CE Submission Form by scrolling below to redeem your continuing education credits.

Deadline to submit CE is December 11, 2017. Late submissions may be subject to additional fees.

CE Evaluation - RPhA's Destination Health

Contact Information
Name*
First Last
Email*
Phone*
NABP e-Profile ID Number*
Date of Birth*
Attendee Type*
- Pharmacist
- Technician
Please select the programs you fully attended.*
- Travel Health Overview- The Road to Success
- Better Safe Than Sorry- Best Practices for Preventing Common Travelers Illnesses
- Vector-borne Diseases- Don’t Let the Bugs Bite
Travel Health Overview- The Road to Success
UAN #: 0278-0000-17-025-L04-P UAN#: 0278-0000-17-025-L04-T
Rank Each of the Following
Program content*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Practical applicability*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Effectiveness of teaching and learning methods*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Speaker's delivery technique*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 1: List the components of travel health*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 2: Compare and contrast models of travel health clinics*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 3: Develop strategies to implement a travel health clinic*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 4: Determine resources for travel health*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Handouts*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Relevance to practice*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Speaker presentations were fair, balanced and/or unbiased?*
- Yes
- No
Please explain
The pacing of this program was (please check one):*
- Too fast
- About right
- Too slow
The level of difficulty of this program was (please check one):*
- Too high
- About right
- Too low
Based on the program content, explain how you will apply this information to your practice site:*
Please provide the CE code given at the end of the program.*
Better Safe Than Sorry- Best Practices for Preventing Common Travelers Illnesses
UAN #: 0278-0000-17-026-L06-P UAN#: 0278-0000-17-026-L06-T
Rank Each of the Following
Program content*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Practical applicability*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Effectiveness of teaching and learning methods*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Speaker's delivery technique*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 1: List appropriate indications for preventive vaccines*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 1: Identify patients eligible for travel consult*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 2: Explain ways to avoid travelers’ diseases*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 2: Establish strategies/protocols that will enable efficient communication with providers if prescription is needed for preventive health*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 3: Discuss common illnesses/diseases outside the US*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 3: Implement methodologies for post travel follow up to ensure correct protocols are being followed*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 4: Use resources to identify current world-wide epidemics related to travel health*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 4: Plan travel health consults*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 5: Recommend OTC products available for use in preventive health*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 5: Create tracking methods for travel consults*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 6: Design a travelers/patient checklist to implement travel safety*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Handouts*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Relevance to practice*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Speaker presentations were fair, balanced and/or unbiased?*
- Yes
- No
Please explain
The pacing of this program was (please check one):*
- Too fast
- About right
- Too slow
The level of difficulty of this program was (please check one):*
- Too high
- About right
- Too low
Based on the program content, explain how you will apply this information to your practice site:*
Please provide the CE code given at the end of the program.*
Vector-borne Diseases- Don’t Let the Bugs Bite
UAN #: 0278-0000-17-027-L01-P UAN#: 0278-0000-17-027-L01-T
Rank Each of the Following
Program content*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Practical applicability*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Effectiveness of teaching and learning methods*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Speaker's delivery technique*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 1: Compare and contrast vector-borne diseases*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 2: Identify areas of greatest risk for vector-borne diseases*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 3: Identify patients at risk for acquiring vector-borne diseases*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Extent to which the program met Learning Objective 4: Develop a plan of appropriate measures for prevention of vector-borne illnesses*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Handouts*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Relevance to practice*
- Excellent
- Good
- Satisfactory
- Fair
- Poor
Speaker presentations were fair, balanced and/or unbiased?*
- Yes
- No
Please explain
The pacing of this program was (please check one):*
- Too fast
- About right
- Too slow
The level of difficulty of this program was (please check one):*
- Too high
- About right
- Too low
Based on the program content, explain how you will apply this information to your practice site:*
Please provide the CE code given at the end of the program.*

RPhA’s Destination Health CE Submission Form

CE Evaluation - RPhA's Destination Health

Contact Information

Travel Health Overview- The Road to Success

Rank Each of the Following

Better Safe Than Sorry- Best Practices for Preventing Common Travelers Illnesses

Rank Each of the Following

Vector-borne Diseases- Don’t Let the Bugs Bite

Rank Each of the Following

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