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Ending the Syndemic Training March 2024

Cardea Services

Questions about this evaluation? Email info@cardeaservices.org.

We hope you found this educational offering both interesting and informative. Your anonymous responses will be used to plan future educational activities.

1. Please enter your unique identifying number using your birth month (mm), last two numbers of your cell phone number, and the first letter of your middle name. If you do not have a middle name, please use the first initial of your last name. This number will be used to compare pre and post survey responses while keeping your responses anonymous.

Example: 0389S
Birth Month: March (03)
Phone Number: 012-345-6789
Middle Name: Smith

2. Have you ever participated in an ECHO before?

3. Does your clinic/organization have a policy and/or protocol to address the following:

Space Cell	Yes	No
HIV Prevention	HIV Prevention: Yes	HIV Prevention: No
HIV Screening	HIV Screening: Yes	HIV Screening: No
HIV Treatment	HIV Treatment: Yes	HIV Treatment: No
Identifying who may benefit from PrEP	Identifying who may benefit from PrEP: Yes	Identifying who may benefit from PrEP: No
Prescribing PrEP	Prescribing PrEP: Yes	Prescribing PrEP: No
Syphilis Prevention	Syphilis Prevention: Yes	Syphilis Prevention: No
Syphilis Screening	Syphilis Screening: Yes	Syphilis Screening: No
Syphilis Treatment	Syphilis Treatment: Yes	Syphilis Treatment: No
Syphilis Standing Orders	Syphilis Standing Orders: Yes	Syphilis Standing Orders: No
Syphilis Field Based Treatment	Syphilis Field Based Treatment: Yes	Syphilis Field Based Treatment: No
Hepatitis C Prevention	Hepatitis C Prevention: Yes	Hepatitis C Prevention: No
Hepatitis C Screening	Hepatitis C Screening: Yes	Hepatitis C Screening: No
Hepatitis C Treatment	Hepatitis C Treatment: Yes	Hepatitis C Treatment: No
Substance Use Disorder Prevention	Substance Use Disorder Prevention: Yes	Substance Use Disorder Prevention: No
Substance Use Disorder Screening	Substance Use Disorder Screening: Yes	Substance Use Disorder Screening: No
Substance Use Disorder Treatment	Substance Use Disorder Treatment: Yes	Substance Use Disorder Treatment: No
Harm Reduction Services	Harm Reduction Services: Yes	Harm Reduction Services: No

4. Does your clinic/organization have specific programming (i.e. funding, clinics, physicians, etc.) for:

Space Cell	Yes	No
HIV	HIV: Yes	HIV: No
PrEP	PrEP: Yes	PrEP: No
Syphilis	Syphilis: Yes	Syphilis: No
Hepatitis C	Hepatitis C: Yes	Hepatitis C: No
Substance Use Disorders	Substance Use Disorders: Yes	Substance Use Disorders: No
Harm Reduction	Harm Reduction: Yes	Harm Reduction: No

5. In any given month, approximately how many patients do you estimate you are treating for....

HIV?
Syphilis?
Hepatitis C?
Substance Use Disorders?