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What is meant by a comprehensive evaluation in ABIM's Medical Knowledge Assessment Recognition Program Guide?

The American Board of Internal Medicine (ABIM) Medical Knowledge Assessment Recognition Program Guide notes that in order for a course (or other live activity) to be registered for ABIM Maintenance of Certification (MOC) points in the ACCME’s Program and Activity Reporting System (PARS), the provider must include a comprehensive evaluation component that measures learners change. A comprehensive evaluation refers to a question or series of questions or a reflective task that is designed to evaluate the activity’s goals and purpose. The evaluation should sufficiently address the goals so that a reasonable determination can be made about the learners understanding of the material and the effectiveness of the educational activity.