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TOXINS 2026
PRECEPTORSHIP
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Post Preceptorship Evaluation
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Self-Assessment
As a result of participating in this preceptorship, I have achieved the learning goals I identified prior to the start of the activity.
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No
How well did this activity meet the following learning objectives?
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N/A
Interpret principles of anatomy and pathophysiology for a variety of clinical conditions in order to assess the need for botulinum neurotoxin treatment
Perform comprehensive and individualized patient assessment in order to identify appropriate patients for neurotoxin therapy and determine realistic treatment goals
Understand the different toxin formulations, in order to administer a specific therapeutic regimen appropriate for each individual patient
Demonstrate procedures and techniques for neurotoxin injections including the use of localization and guidance modalities, in order to assure optimal product placement and therapeutic 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)
Yes
No
Not Sure
Patient evaluation/clinical assessment
Dosing and administration of botulinum neurotoxins
Localization/guidance of botulinum neurotoxin injections
Adjunctive therapy (may include aftercare/home exercise program, PT, OT)
Assessing/Evaluating patient outcomes
Clinician-clinician communication (treatment team)
Documentation
Patient education
Other
If you answered other, please specify:
I will make the following additional specific change in my practice.
As a result of participating in this preceptorship, how has your confidence level changed with regard to injecting botulinum neurotoxin?
(Required)
Increased a great deal
Increased moderately
Remained the same
Decreased
As a result of this preceptorship, do you plan to increase the number of patients that you inject with botulinum neurotoxin?
(Required)
Yes
No
As a result of this preceptorship, do you plan on injecting botulinum neurotoxins for other conditions that you previously have not treated?
(Required)
Yes
No
Unsure
What else would you like to learn?
Mentor Rating
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Please rate the mentor of your preceptorship training session
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Overall evaluation of mentor
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Effectiveness of didactic presentation
Effectiveness of practical technique demonstration
Overall, I would rate this preceptorship as:
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Was the didactic presentation free of commercial bias?
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Yes
No
Commercial Support and Disclosure:
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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.
Was the environment conducive to learning?
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