Preceptorship Post Evaluation for Aesthetics | International Neurotoxin Association

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Self-Assessment

How well did this activity meet the following learning objectives?(Required)

	Excellent	Good	Fair	Poor	N/A
Interpret principles of anatomy of the face and neck in order to assess patients for botulinum neurotoxin treatment
Perform comprehensive and individualized patient assessments in order to identify appropriate patients for botulinum neurotoxin therapy and determine realistic treatment goals
Understand the different botulinum neurotoxin formulations, in order to administer a specific regimen appropriate for each individual patient
Demonstrate procedures and techniques for botulinum neurotoxin injections, in order to assure optimal product placement and aesthetic outcomes
Facilitate interaction and improve communication among members of the clinical care team and with the patient in order to achieve treatment goals

As a result of participating in this activity, I will likely make changes to my practice in these categories:(Required)

If you answered other, please specify:

I will make the following additional specific change in my practice.

What else would you like to learn?

Mentor Rating(Required)

Please rate the mentor of your preceptorship training session

Commercial Support and Disclosure:(Required)

	Yes	No
Disclosure of faculty relationships with commercial organizations was made available to me before the beginning of the event.
The commercial supporters were acknowledged in the event materials.
Were commercial promotional products displayed in the meeting room?

If you answered “No” to the previous question or either of the first two questions here or “Yes” to the third question here, please provide further detail.

	Yes	No	Not Sure
Patient evaluation
Dosing and administration of botulinum neurotoxins
Assessing/Evaluating patient outcomes
Documentation
Patient education
Other

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Overall evaluation of mentor
Knowledge of the subject matter
Effectiveness of didactic presentation
Effectiveness of practical technique demonstration