Modules

Course Evaluation

Thank you for taking the curriculum!

Please help us improve the curriculum by evaluating Smiles for Ohio—Fluoride Varnish: Training for Primary Medical Care Providers Serving Children Enrolled in Medicaid. Your feedback is important to us. A completed evaluation is required in order to receive a CE certificate.

Please fill in the form and click the "submit" button at the bottom of the page.

If you prefer, print and return the completed form to the National Maternal and Child Oral Health Resource Center by fax at (202) 784-9777 or by mail to OHRC, Georgetown University, Box 571272, Washington, DC 20057-1272.

Name:
E-mail:

 

For Physicians

 Were these course objectives met?

The participant will be able to communicate to parents the American Academy of Pediatrics’ recommendations that pediatricians conduct an oral health risk assessment on children beginning at age 6 months and refer children at high risk for dental caries (tooth decay) to a dental home by age 1.

 Yes No

The participant will be able to explain to parents the factors that influence the development of dental caries and the role good nutrition plays in reducing dental caries.

 Yes No

The participant will be able to quickly and effectively conduct a caries risk assessment, including interviewing the child’s parents or other primary caregivers and performing an oral health screening.

 Yes No

The participant will be able to apply fluoride varnish to a child’s teeth as a component of a well or sick child visit.

 Yes No

For Nurses

The participant will be able to describe the purpose of and procedures for fluoride varnish application and the reasons for referral to a dentist.

 Yes No

The participant will be able to explain the purpose of and tools available for caries risk assessment as well as how to conduct an oral health screening.

 Yes No

The participant will be able to explain what to emphasize when providing anticipatory guidance and referral information to parents or caregivers.

 Yes No
 
How long did it take you to complete this training?

 

For Physicians and Nurses

What aspects of the curriculum were most valuable?
 


What aspects of the curriculum were least valuable?
 


How can we improve this curriculum?