Continuing Education Credit Form

The Untold Story: Women and Heart Disease
 

The American Association of Colleges of Nursing will award 1.5 contact hours of continuing education (up to a total of 15 hours for the entire Bench to Bedside series) for viewing this tape/CD-ROM as an educational activity.  This Continuing Education Credit (CEC) Form must be submitted to verify you viewed the tape/CD-ROM and earned the credit. 

Steps

1.      Print this copy of the Continuing Education Credit Form

2.      View the videotape or CD-ROM

3.      Complete all information requested

4.      Copy the completed form for your records of contact hours earned.  No additional verification will be sent to you.

5.      Send original copy of completed form to:  CenterNet/HMTV,  529 14th Street, N.W., Suite 1292, Washington, DC 20045

The Untold Story: Women and Heart Disease  is part of the Bench to Bedside Video/CD-ROM Series for clinicians.  At the conclusion of this activity, the learner will be able to:
• Review key statistics on cardiovascular disease in women
• Describe the alarming trends in the prevalence of modifiable risk factors for cardiovascular disease
• Describe the four National Heart, Lung and Blood Institutes Cardiovascular Health Performance Goals and the disparities in women’s heart health related to each of the goals.
• Describe opportunities for integrating preventive cardiology for women at various stages of the lifecycle into clinical practice.
• Explain ways to integrate the American Heart Association/American College of Cardiology preventive cardiology guidelines for women into routine office visits, including screening and counseling related to lifestyle factors and cardiovascular disease risk factors, and use of pharmacological interventions
• Identify the types of patients to refer to a cardiologist
• Discuss the reasons why diagnosis of coronary heart disease is a greater challenge in women than in men
• State the signs and symptoms of acute myocardial infarction in women and the reasons women often delay treatment
• Describe the current standards of medical care for women who are diagnosed with a myocardial infarction


(Please print)

 

Name________________________________________________ RN License # and state______________________
                        (Last)                         (M.I.)                        (First)

Address______________________________________________ City/State/Zip_____________________________

 

Date tape viewed______________ CE form printed on:    Signature  _____________________________

 

 

1.   Relationship to program purpose. Learning objectives for “The Untold Story: Women and Heart Disease” support the overall purpose for which the series is designed.
___Yes   ___Partially   ___No
       

2.  Objectives   Has this program enabled you to have a better understanding of the objectives  listed above:
___Yes   ___Partially   ___No       

   

3.   Presenters

Please rate effectiveness of each presenter:

Sharonne N. Hayes, MD _____Somewhat Effective _____Effective _____Very Effective 
Bruce MacLeod, MD _____Somewhat Effective _____Effective _____Very Effective 
Deborah J. Barbour, MD _____Somewhat Effective _____Effective _____Very Effective 


4.   Overall Program

Overall this educational activity was:   _____Marginal                       _____Good               _____Excellent

      Comments: