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2025 CMA CME Provider Demographic Survey
1.
Name of Organization
(Required.)
2.
Provider ID Number
(Required.)
3.
Primary Contact
(Required.)
Name
Email
4.
Billing Contact
(Required.)
Name
Email
5.
CEO Contact
*CEO contact will only be contacted if we are unable to contact the Primary and Billing contact.
(Required.)
Name
Email
6.
Check the organization category that most accurately describes your organization and CME program and provide details related to the category you select.
(Required.)
Hospital/Healthcare delivery system
Government or Military
Insurance Company/Managed Care Company
Non-Profit (Physician Membership Organization)
Non-Profit (other)
Publishing/Education Company
School of Medicine
Not Classified
Other (please specify)
7.
Is your organization part of a larger healthcare system?
(Required.)
Yes
No
8.
If yes, name the larger organizational healthcare system.
9.
Number of hospitals or medical centers owned by your organization and supported by your CMA CME accredited program.
(Required.)
10.
Number of clinics/sites owned by your organization and supported by your CMA CME accredited program.
(Required.)
11.
What is your geographic location(s) considered?
(Required.)
Urban
Suburban
Rural
12.
What is the total full time equivalent (FTE) staffing dedicated to your CME program? (1.0 FTE = 40 hours/week)
(Required.)
0.25 FTE
0.25-0.5 FTE
0.5-0.75 FTE
1 FTE
1.5 - 2:5 FTE
3+ FTE
Other (please specify)
13.
What are your organization's top 3 priorities for CME in the coming year?
(Required.)
14.
What are the top 3 challenges your organization faces in regard to CME?
(Required.)
15.
Which best describes your CME program support from organizational leadership?
(Required.)
Leadership involved and supportive of CME program
Leadership supportive but not involved
CME operates independently from leadership
Our program lacks support from leadership
Please add additional comments to clarify your response
16.
What strategies are you using to demonstrate the impact and value of your CME program to your leadership?
(Required.)
17.
How can CMA better support your CME program?
(Required.)