Evaluation & Continuing education request form

Navigating Bias: Unpacking Weight Bias in Diabetes Care

Use this form to provide feedback on this event and/or if you are requesting a CDR certificate of completion or a certificate of attendance for other credentialing organizations. Please allow 5 business days to process CE certificates and certificates of attendance.

Continuing Education Credit Options

The CPE activity application for this event is pending CDR review and approval for 1.25 CPEUs. You may submit your request for CDR and we will notify you once the review is complete. We can also prepare a certificate of attendance to support submissions to other accrediting bodies. Note: Check your credentialing organization to see if they accept pre-approved CDR continuing education credits.

Session Evaluation & Continuing Education Certificate Request Form

Did you attend the live session, watch the recording, or both? *

I attended the live session.
I watched the recording.
I did both.

Are you requesting a continuing education certificate of completion/attendance? (CEs are only available to the Professional Membership tier) *

I am requesting a certificate of completion for CDR pre-approved credits. (CDR Review Pending)
I am requesting a certificate of attendance to support my individual submission for continuing education credits.
I am not requesting a CE certificate.

What name should be used for your certificate? *

First

Last

What email should we send your certificate to? *

Select Yes or No to describe attributes of the Continuing Professional Education: - Utilized best available research evidence

- Included ample peer-reviewed references to substantiate content

- Expertise of Provider / presenter contributed to content quality

- Target audience was appropriate

- Met educational needs and / or addressed practice gaps

- Included practical information for implementing changes to practice

- Provided a balanced perspective / stated benefits and shortcomings

Please describe any other noteworthy attributes of the CPE activity:

If you selected No for any of the above, please elaborate:

Select Yes or No to describe if the CPE activity enhanced knowledge, skills, and behaviors as described in CDR’s Essential Practice Competencies for Ethics or Health Equity: - Included materials and content which emphasized and included diverse representation in the learning group

- Included a focus on differences that may vary within and between patient / client populations

- Established an environment or facilitated interactions which encouraged and respected diverse and divergent experiences and viewpoints

- Encouraged reflection on bias and privilege and the promotion of personal growth

If you selected No for any of the above, please elaborate:

Select Yes or No or No Answer to describe the language in the materials / presentation: - Free of bias

- Non-discriminatory

- Inclusive

- Conscious of honoring how individuals choose to identify themselves

- Free of microaggressions

I'm unfamiliar with one or more of the concepts presented above

As a result of the education do you plan to: (select all that apply)

Share the information / collaborate with colleagues
Review supplementary information to support or expand your learning
Seek additional CPE activities related to the topic
Alter the methods in which you care for patients / clients / customers
No action
Other (describe)

RDs and DTRs may share information with CDR staff regarding the quality of this or any CDR CPEU Prior Approved Activity by emailing QualityCPE@eatright.org.

What does A1c measure in individuals with diabetes? *

a. Blood pressure levels
b. Blood glucose levels over the past 2-3 months
c. Insulin sensitivity
d. Body mass index (BMI)

Which of the following statements best describes the impact of weight stigma on diabetes management? *

a. Weight stigma has no effect on diabetes outcomes
b. Weight stigma can contribute to poor treatment adherence and psychological distress
c. Weight stigma only affects individuals with Type 1 diabetes
d. Weight stigma is positively associated with improved blood glucose control

True or False: Losing weight is the only option to improve blood sugars. *

True
False

True or False: Weight stigma has no impact on healthcare-seeking behaviors or treatment persistence among individuals with diabetes. *

True
False

True or False: Fatness causes diabetes. *

True
False

What lessons from this session are you taking with you into the world? *

As a result of this session, what actionable steps will you make professionally or personally? *

What will you do to continue learning about the topics covered in the session?

Do you have any other last comments or thoughts to share with the ASDAH Leadership Team?