Improving Patient Care in Menstrual Migraine Evaluation Form/Post ...

Improving Patient Care in Menstrual Migraine
Evaluation Form/Post Test
After completing this activity, and to earn a maximum of 1 AMA PRA Category 1 Credit the options to complete the post-test/evaluation form
are:
1. Use internet access by clicking on the following link: http://4d.primarycarenet.org:8070/nhf_mm_posttest.shtm
By completing your post test and evaluation online, you will have the ability to print your CME certificate immediately.
2. Print and fax your completed post-test/evaluation form to: 417-841-3609 or mail to Primary Care Network, Attn. Jill Hays, 3805 S. Kansas
Expressway. Springfield, MO 65807.
3. Email your completed form by clicking on the “Submit Post Test By Email” button at the end of this document.
If completing option 2 or 3, please enter information in all fields provided. Please allow 4-6 weeks for the processing of all post-test/evaluation
forms and to receive your CME certificate.
Learning Objectives
(To what degree did this activity meet its stated learning objectives?)
1. Explain the etiology of menstrual migraine, exploring the role of hormonal fluctuation in women with migraine
2. Describe the diagnostic criteria and patient evaluation for menstrual migraine
Use the drop-down menus below
A-Excellent B-Very Good C-Average D-Poor F-Failing
3. Discuss different treatment options, including behavioral modification and pharmacologic and nonpharmacologic therapies
4. Discuss the importance of patient communication in recognizing and diagnosing menstrual migraine, assessing impairment due to migraine, and designing
optimal treatment plans.
Commercial Bias
(Commercial Bias Definition: A personal judgment in favor of a commercial interest; any entity producing, marketing, re-selling, or distributing
health care goods or services consumed by, or used on, patients.)
Please indicate YES or NO for this question. I feel that this educational activity is free of commercial bias.
If you answered `No' above, please tell us why.
Overall Educational Activity
Use the drop-down menus below
5 - Strongly Agree 4-Agree 3-Neutral 2-Disagree 1- Strongly Disagree
This activity provided new information to me.
The educational approach used in this program was conducive to my learning experience.
I learned information that is directly applicable to my clinical practice.
I learned information that will help improve my patients' outcomes.
After completing this educational activity, I plan to implement the
following in my practice:
Are there any barriers that would keep you from implementing the
practice paradigms discussed in this educational activity?

Overall Educational Activity Comments (continued)
Is there specific additional information and/or materials that you
think would enhance this educational activity?
Please give us your comments regarding the overall activity.
PLEASE RECORD POST-TEST ANSWERS BELOW
1. 2. 3. 4. 5. 6. 7.
8.
9. 10.
AMA PRA Category 1 Credit Request
I certify that I have participated in
hour (hour-for-hour basis, for a maximum of one hour) of this educational activity and request a CME certificate
indicating that number of credit hour(s). I will claim only the total number of hours for which I participated.
Please print in the spaces provided the following information.
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