Evaluation Form for FSOSW Continuing Education Credit


FSOSW 38th Virtual Annual Conference


August 18-20, 2021


APPROVED BY THE FLORIDA BOARD OF LICENSED CLINICAL SOCIAL WORKERS, LICENSED MARRIAGE & FAMILY THERAPISTS AND LICENSED MENTAL HEALTH COUNSELORS


PROVIDER #50-775 Expires: 03/31/2023 The Florida Society of Oncology Social Workers maintains responsibility for this program.

Evaluation Form for FSOSW Continuing Education Credit
Full name as it appears on your license, if submitting a hard copy please print clearly.
Address
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Instructions - Please select the sessions you attended and plenary sessions. CEUs will be awarded only for those sessions selected. A certificate of attendance will be sent to you showing the number of credits awarded for the conference. Please evaluate the session using a scale with 1 as poor, 2 as fair, 3 as good, and 4 as excellent.

August 18, 2021 12:30pm - 2:30pm - Presentation A - 2 CEUs

Presenter(s): Jenenne R. Valentino-Bottaro, PhD LMHC
Healing HeArts- Providing a Framework to Develop movement, rhythm and Animal Interconnected programs to establish better health outcomes for individuals living with cancer
Attendance - Presentation A

August 18, 2021 2:45pm - 4:15pm - Presentation B

Breakout Session A - 1.5 CEUs
Presenter(s): Tiffany Cappelen, LCSW
Communicating Bad News & Intro to Hospice End of Life Discussion
Attendance - Presentation B - Breakout Session A
Breakout Session B - 1.5 CEUs
Presenter(s): Azra Camacho, LCSW
Collaborative Teamwork: Multidisciplinary Team Approach in Radiation Oncology setting
Attendance - Presentation B - Breakout Session B

August 19, 2021 8:15am - 9:45am - Presentation C - 1.5 CEUs

Presenter(s): Chuck Miceli, LCSW BCD DBT
Cancer, COVID-19, and Considerations for Care: Cases and Conversations for Oncology Social Workers

Attendance - Presentation C

August 19, 2021 10:00am - 11:30am - Presentation D - 1.5 CEUs

Presenter(s): Karen Grant, LCSW OSW-C & Vanessa Hill, LCSW OSW-C
Meaning Centered Psychotherapy for Cancer Patients

Attendance - Presentation D

August 19, 2021 1:00pm - 3:00pm - Presentation E - 2 CEUs

Presenter(s): Sharon Reich & Julie Strier
Navigating Government Benefits to Reduce Healthcare Costs, Maximize Income, and Improve Quality of Life

Attendance - Presentation E

August 19, 2021 3:00pm - 5:00pm - Presentation F - 2 CEUs

Presenter(s): D. Eric Ervast, MM MT-BC, Isabella Hudson, MS ATR-P RMHCI & Amelia M Lane, MA MT-BC NCC
Creative Arts Therapies: Integrating Music Therapy and Art Therapy to Enhance Collaboration in Cancer Care

Attendance - Presentation F

August 20, 2021 8:15am - 9:45am - Presentation G - 1.5 CEUs

Presenter(s): Kristal Polloack, LCSW
DBT Skills for Cancer Patients and Caregivers

Attendance - Presentation G

August 20, 2021 10:00am - 12:00pm - Presentation H - 2 CEUs

Presenter(s): Michael Campbell, PhD LCSW & Daniel Gaylor, LCSW OSW-C ACHP-SW
Advocacy in Action: Social Workers Champion Patient Centered Care

Attendance - Presentation H

August 20, 2021 1:00pm - 2:30pm - Presentation I - 1.5 CEUs

Presenter(s): Ryan LaBar, Esq.
Employee Rights- a brief overview of legal protections available in the workplace for employed patients

Attendance - Presentation I

August 20, 2021 2:45pm - 5:45pm - Presentation J - 3 CEUs

Presenter(s): Katherine Campbell, PhD LCSW
Telehealth Course- (3 hour) Required for licensure

Attendance - Presentation J