| I developed or improved my competencies/skills. |
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| I implemented new strategies or changes in my practice. |
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| I improved my ability to identify system issues that impact the quality of care and contributed to implementing solutions. |
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| I improved my understanding of the impact of changes in the health care delivery system (health care reform, changes in reimbursement, use of information technology, etc.). |
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| I I improved my ability to work within the healthcare delivery system (e.g., processes, access to resources). |
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| I improved my ability to incorporate ethical principles into my practice. |
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| I improved my ability to deliver culturally appropriate care. |
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| I engaged in a performance improvement process. |
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| I improved my ability to comply with clinical guidelines and protocols. |
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| I improved my ability to understand the underlying causes of complications, adverse events and/or medical errors. |
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| I considered the cost-effectiveness of care for patients. |
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| I improved my ability to communicate effectively with patients and their families. |
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