Oral Health Screening Online Module

Program Evaluation

Thank you for completing this program. Please take a moment to provide us with valuable input regarding this program so we may enhance the program to best meet your learning needs.

I. General Information

1) I work with children in the following setting(s):

Public health (tribal or county)
Community clinic
Private clinic (primary care)
School
Day care
Dental Office
IHS or Tribal Health Clinic
FQHC (Federally Qualified Health Center)
Other:

2) Do you perform C&TC screenings?

Yes
No

3) I work as a:

MD
CNP
RN
Educator
Licensed oral health care provider
Other health care worker
Other:

4) Please indicate the components you utilize when doing an oral exam?

Family/Caregiver Oral Health History Client Oral and Dental Practices
Physical Examination of Teeth, Lips, Tongue, Gum Tissues Previous Oral Health Problems
Diet and Nutrition Practices Drug or Alcohol Use
Medical History and Condition Medications
  Other Charts:

II. Content

For question 5, please rate on the following scale: 1=Not Relevant, 3=Fairly Relevant, 5=Very Relevant.

5) How relevant was the web-based training to your practice or clinic or child health service site?

Not Relevant   Fairly Relevant   Very Relevant
1
2
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5

6) Did you learn anything new about oral screening from completing this program?

Yes
No

If yes, what was the most important thing you learned?

7) Upon completing this program, are you likely to initiate Fluoride Varnish Application in your practice or where you work with children?

Not Likely   Fairly Likely   Very Likely
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2
3
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5

III. Format

For questions 8 - 11, please rate on the following scale: 1=Poor, 3=Average, 5=Excellent.

    Poor   Average   Excellent
8) Overall quality of the content of the Web-based program.
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5
9) The following learning objectives were met:

a) Describe the Child and Teen Checkups Program and your role in providing oral health screening
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2
3
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5

b) Identify and describe steps to oral health screening
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5

c) Identify common oral health problems in infants and children
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5

d) Describe dental caries prevention strategies
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5

e) Provide anticipatory guidance about oral health
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5
10) Overall ease of navigation through program.
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5
11) Overall content was relevant to my job.
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5

12) How could this Web-based program be improved?

Does not need improvement
Easier navigation through program
Content more clearly written
Better quiz questions

13) How long did it take to complete this program?

14) Additional comments or suggestions.

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