MLI Content Review Feedback Form - Medical Learning Institute Inc

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Name of Reviewer *

Activity Title

Date / Time of Presentation

Date

Time

Date of Session & Planned Start Time

Is this activity commercially supported? *

Yes
No
Unsure

Name(s) of Supporters

Please include company names

Presenter(s)

Please include all moderators and/or presenters

Date of Review

Location of Activity

If online, please provide the URL

Estimated Number of Participants

1. Scientific Rigor *

The content is scientifically rigorous.
I have concerns that I will describe below.

- Are clinical studies cited from credible sources, eg, peer-reviewed journals?
- Does it discuss concepts in terms of generally accepted standards of experimental design, data collection, analysis, and interpretation?
- Are there studies, sources of data, data, or topics missing?
- Is there anything that was not addressed or discussed that should be included?

Comments

2. Patient Care Recommendations *

This activity included recommendations are based on current science, evidence, and clinical reasoning.
I have concerns that I will describe below.

- Does the content advocate for unscientific approaches to diagnosis or therapies?
- Does the content include promote recommendations, treatments, or manners of practicing healthcare that have risks or dangers that outweigh the benefits OR are known to be ineffective in the treatment of patients?

Additional and/or Did

Comments

3. Fair Balance *

This activity includes information about risks as well as benefits of products discussed.
I have concerns about fair balance that I will describe below.

- Does this activity include content that contributes to overall health improvements and not a proprietary interest of a commercial entity?

Comments

4. Scopes of Practice *

This activity addressed all scopes of practice of the target audience.
I have concerns that I will describe below.

For education for the healthcare team, did the activity only discuss information for limited members of the team (physician-focused or prescriber-focused)?

Comments

5. Addressing Team Issues *

This activity addressed team-based topics.
I have concerns that I will describe below.

For activities involving a healthcare team (two more professions), does the activity address interprofessional communication, teams or team-building, transitions of care, team values or professional ethics, or roles/responsibilities of team members?

Comments

Influence by an Ineligible Company

An ineligible company is any entity whose primary business is the production, distribution, marketing, selling, or reselling of products used on or by patients.

6. Brand Names vs Trade Names *

This activity does not include mention of a proprietary healthcare product (drug, device, OTC item, test, vaccine, etc.)
This activity includes generic names when describing a drug AND/OR trade names from two or more companies.
This activity addresses nonclinical topics.
Unsure - request additional review.
I have concerns that I will describe below.

Comments

7. Promotion of Proprietary Interest(s) *

This activity does not include bias towards a particular ineligible company.
I have concerns that I will describe below.

- Did the presenters answer participants' questions without bias?
- Does the activity include logos, taglines, or branding from a drug or device company?
- Are there trademark, copyright, service marks present or observed?

Comments

8. Evidence of Marketing or Sales? *

This activity does not include any marketing or sales activity or messaging.
I have concerns that I will describe below.

9. Did you see any disclosure information from faculty and/or planners?

Yes
No
Unsure

- Were there handouts, introductory slides, or verbal remarks before the beginning of the activity?
- If this activity was online, did you see 'front matter' before accessing the activity content?

Comments

Meeting Learning Objectives *

The content supports the activity's learning objective(s).
I have concerns that I will describe below.

Was the format and/or venue appropriate for this activity?

For in-person or live streams, did the activity start on time?

Are there opportunities for presenters' or participants' special needs?

Additional Comments or Observations

- Did participants suggest any additional educational needs or wants?
- Do you have any recommendations for improvements or changes?