1 | Providers were asked, "How can this program be improved?" | |
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2 | PCP Comments (Hour 1) | PCP Comments (Hour 2) |
3 | no suggestions | no suggestions |
4 | nothing | I had heard this lecture before as part of my state-mandated chronic pain/opioid reduction education, so it would have been useful to have a shorter vesion. |
5 | I think the information could have been delivered more succinctly. | was solid |
6 | Was solid | No improvements |
7 | No improvements | more programs |
8 | More programs | No suggestion for improvement |
9 | Understand team goals for back pain care | generally well done |
10 | No suggestion for improvement | More details on items in tool box, more details on physical exam |
11 | Generally well done. | We will see |
12 | would have a more detailed review of toolbox information on how to access specific pathway trained pts and dcs (how do we know who they are?) | 15 minute break between speakers |
13 | total waste of time, sorry whoever is paying for this. I had to watch it so i did. | No suggestions. |
14 | A 15 minute break between speakers | seemed fine as is. |
15 | It was great, I have to say. Good length, academic. Nice job. | more |
16 | The first 20 minutes did not appear to have enough substance to be worth the time spent. It could have been 10 bullets covered in 5 minutes. | I am excited to use the app |
17 | exc | More time for questions would be great |
18 | I thought it was great | was great. can't wait to start using tool box |
19 | it was hard to see some of the slides - might be nice to have prior to the program to review | including strategies in tapering narcotics in chronic pain patients |
20 | was great. can't wait to continue learning more | I think a little too simplistic and repetitive; more concrete examples |
21 | Could me made a little bit shorter | more focus on patient self care, mobility exercises patient can do, evidence base regarding various medications. E.g., I have heard that there is good evidence for tramadol, but this was also not discussed. Is there a specific muscle relaxant with a better evidence base? Is there a specific NSAID with the strongest evidence? |
22 | it was very good as it stands | 1 hour at a time to be able to fit into schedule more easily. |
23 | Very much loved the concept - more practical solutions... all of this is easier said than done. Would be especially helpful to have more central resoucrse for patients (its not usually the doctors who want the MRI!) | no suggestion |
24 | Great program. Only small suggestion would be less focus on the intro stuff and more on management - e.g., things patient can do for self care, exercises, etc. | overall very good program |
25 | Very effective! | A bit long |
26 | none | Selection of which types of patients should go first to chiropractic vs. physical therapy for initial spine care pathway? I have often been concerned about chiropractic interventions on radicular complaints, for fear that manipulation may aggravate the nerve injury; is this misguided thinking? |
27 | no suggestion | I think that a concrete list of local resources would be valuable but I understand this is forthcoming. Otherwise, excellent presentations. |
28 | overall very good program | spend about 50% more time on treatment pathways and give some patient scenarios for each pathway decision point. |
29 | . | more time for questions. |
30 | A bit long | good presentation. Need better guidance on referral and how to address cost of PT/chiropractor care with patients |
31 | Recommendations on when to choose chiropractic vs. PT options, and how to get chiropractic covered? That option is sadly more costly and less covered by insurance in RI, it appears. | Excellent, practical information. Was a bit too repetitive |
32 | Notify people of the appropriate browsers to use before the start of the program. I did not have Chrome and I came in a few minutes late because of this. | Save a little more time for Q and A. But it was very well done. |
33 | challenges logging into the course - took 10 minutes to obtain authorization; audio cut out several times | Use examples of patient cases. |
34 | Excellent program | better audio/visual component |
35 | I think that a concrete list of local resources would be valuable but I understand this is forthcoming. Otherwise, excellent presentations. | great overall program! |
36 | Give some examples of systems who have implemented the PSPN pathways. Talk about challenges to implementation and how to overcome them. Show some more patient education materials. Walk through how to access the tool box. | n/a |
37 | less general info - more specifics on treatment | Case studies at the end |
38 | give more practical instructions on how to be able to refer to PT and chiropractor with the high copay required and limit on sessions the patients can have | It guide me how to examine lower back pain patients |
39 | The program was excellent. Thank you | N/A |
40 | excellent presentation | More information on the PT/DC Pathway training, how to access this and how we can start referring today. This was an excellent overview and discussion and I greatly appreciate it! So glad this was offered for RI primary care/providers. I look forward to being in touch and collaborating more. Mariah Stump, MD, FACP (PCP and Medical Acupuncturist) |
41 | Perhaps save a little more time for Q and A. Unclear if people didn't ask questions because of time constraint. Though I don't know what you would cut out. The program was very well done | A little repetitive and a little to long |
42 | Use some example patients to paint a clinical picture of someone we may see in the office. | Not sure |
43 | information covered could have been done more succinctly in a shorter amount of time | Review of useful physical exam skills was extremely helpful and, if possible, expansion of this section would be great |
44 | better audio/visual component | More time for question/answer |
45 | great program with useful information for the primary care clinician. Thank you! | More data, less emphasis on avoiding costs |
46 | n/a | again more case based |
47 | my only issue was watching it on my phone (iphone) w/c did not allow me to proceed to the completion of the program to get the certificate. and my work computer does not have chrome. so a little bit of a hassle but your team was very helpful so looks like I can proceed to complete the program and I may also see if I can take the 12hr course or if one of my staff members can. thanks for this it was a good program | very well done |
48 | Case studies at the end may have added to it | No idea |
49 | It is a very good course | It was great |
50 | N/A | quite good |
51 | This was really excellent and I am thrilled that this was provided as CME for RI primary care docs/providers. This is greatly needed and useful! Maybe more time spent letting us know how to refer to the "Pathway Trained PT/DC" so that we can start implementing ASAP and more about insurance coverage for patients who don't have BCBS of RI. | No recommendations |
52 | Nothing | It was great! Thank you! |
53 | It was good, will need to review toolbox | additional examination skills |
54 | Please do not tell us "this is not a guideline"- it is a guideline, and that's ok | It was well done |
55 | Not sure | My toughest clinical problems in this realm are not people with acute pain, but rather those who come to me with years of chronic pain. More info/time on nociception and neuroplasticity would be helpful for those cases. |
56 | Great program. no additional comments | excellent program |
57 | This was a great overview on the burden of spine disease and will definitely change how I counsel my patients | n/a |
58 | As a primary care provider, I see patients with back pain every day - I don't need to be convinced that this is a common or costly problem. Like most doctors, I also didn't go into medicine to focus on the business of medicine - cost alone isn't motivating as we try to provide appropriate care, not the best care we can provide for the cheapest price. Maybe talking about cost reduction leading to availability of funds for other programs to help patients would be motivating for a lot of us. | as indicated previously, a very good introduction, nothing off the top of my head other than handouts that we can use to reinforce information for our patients |
59 | More time for question/answer | no suggestions |
60 | Less emphasis on cost | include the psychosocial and shared decision making elements of patient evaluation and treatment |
61 | more case based including complex cases with social barriers (finances.cognitive impairment/history of back surgery etc) | excellent program |
62 | very well done | Shorter |
63 | No idea | Local resources |
64 | I think it was great | N/A |
65 | did good job | It was a little long- could have need condensed |
66 | No recommendations | Thought it had great balance. |
67 | I enjoyed it a lot; thank you! | just have the local information about who is available, but that apparently is not set up yet. Also would be good to know who is covering this as far as insurance coverage goes |
68 | maybe slightly shorter | None |
69 | too many horses and zebras | It was great |
70 | My toughest patients are not those who come in with acute back pain, but those who come in with a long history of chronic pain. More time/info on nociception and neuroplasticity would be helpful for these cases. | Insightful. Theoretically sound but may be difficult to implement especially if no support from community i.e. primary spine specialist |
71 | excellent program | . |
72 | easier access | no recomendations |
73 | thought it was a very good introduction, nothing to change off the top of my head. haven't looked at the tool kit yet and hope that it contains things like patient handouts to reinforce. | Enjoyed the lecture. The information was very relevant to my practice. |
74 | no suggestions | no other commentary besides that provided in previous survey |
75 | It might be helpful to include DOs as another "slash" - e.g., PA/DC/DO. As a primary care provider, who is a DO, who regularly provides osteopathic manipulative therapy, DOs can be another meaningful part of the team. | Program was helpful and informative. Thank you for the webinar. I can't think of any suggestions for improvement at this time. |
76 | Shorter | was good as is |
77 | More Q and A at the end | Very good. I think for speaker #1 I misread the order of the totally disagree to totally agree and erroneously marked "totally disagree." Please note that this was in error. Both speakers were excellent and I will use the education that was provided as well as the tool kit. I am in geriatrics and see backpain as a chief complaint often. |
78 | Better time management. Delivered within the two hours allocated for the course. | nothing to add |
79 | The background was good | not that much of the basic information |
80 | Thought it was well done. Decent balance between slides and presentation. | it was excellent. thank you! |
81 | none that I can think of | Terrific - always an engaging speaker! |
82 | None | Would be fine as webinar rather than live event. Difficult for me to find time in schedule. |
83 | It was great | Great- I look forward to obtaining resources for specific PT/DC providers in the community. |
84 | It was very good. | not sure |
85 | . | no improvement necessary |
86 | No recommendaitons | it was great but I always like more true-life examples. |
87 | I thought the speaker was knowledgable and interesting. | concentrate on pathophysiology and treatment and leave the costs to insurers out of it |
88 | I think that this program truly represents an ideal but i feel that as another provider stated, insurance coverage continues to be barrier to implementation in primary care. Alternative medicine- massage, acupuncture are fantastic alternatives but may require out of pocket expenses that challenge a socioeconomic disadvantaged population. Overcoming this is likely our greatest barrier. | The slide content |
89 | Program was helpful and informative. Thank you for the webinar. I can't think of any suggestions for improvement at this time. | Skip this |
90 | was fine | don;t know yet |
91 | Hasn’t started yet | less talk about healthcare burden of spine care and get right to the clinically useful material |
92 | Well done. Thank you. | excellent comprehensive program |
93 | It dragged a bit | |
94 | recommend less to go to other classes | |
95 | excellent program. probably simplifying/less crowding of slides will be helpful. | |
96 | Very good overall! | |
97 | I think would be as effective as video CME vs live event. The timing was difficult for busy PCP | |
98 | Great- I look forward to hearing more specific resources about individual providers in the community for PT/DC options. | |
99 | not sure | |
100 | no improvement necessary | |
101 | perhaps to ask for questions of the audience (via email) prior to beginning the program and address them throughout. great though! | |
102 | concentrate on pathophysiology and treatment and leave the costs to insurers out of it | |
103 | With the arrangement of the slides | |
104 | haven't seen it yet | |
105 | don't know yet, haven't taken it | |
106 | less talk in beginning about importance of spine care and costs in health, get right to the clinically helpful bits | |
107 | excellent comprehensive program |