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CME Needs Assessment Form
1) Please select one of the following to indicate your specialty area or department:
All
Allied Health Professionals (pa's and np's)
Anesthesia
Cardiology
Cardiothoracic Surgery
Emergency
Endocrinology
Family Practice

Gastroenterology
General Surgery
In-Patient (Hospitalist)
Internal Medicine
Nephrology
Neurology
Neurosurgery
OB/GYN
Oncology
Opthalmology
Orthopedics
Otolaryngology
Pulmonology
Pain Management
Pathology
Pediatrics
Plastic Surgery
Psychiatry
Radiation Oncology
Radiology
Urology

2) List three CME topics that would help satisfy your professional learning needs and/or enhance clinical skills:

a)
b)
c)

3) How did you determine what those needs were?
current practice trends
relevant to practice needs
self improvement
area of interest
clinical experience
required by
other

4) How can the CME activities currently being offered at Novant Health be improved to better serve or help meet your professional learning needs?
(Current CME being offered: Tumor Board, Breast Forum, Thoracic Conferences, Pediatric Conferences, OB/GYN Conferences, Anesthesia Conferences, Internal Medicine, etc.)

5) Based on new ideas or insight gained through CME activities, are there any clinical practice issues that should be addressed as a means to enhance the provision of patient care within Novant Health?

Please explain:

6) What is the best time for you to attend a CME program: Morning Lunch Dinner

7) How would you like to learn about CME programs and other news from Presbyterian? (check all that apply)
Web site for physicians
signs in MD lounge
Poster at MD entrance to hospital
email:
fax number:
other:
Post card (or letter) in the mail

 

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