2015 Needs Assessment
1.
Needs Assessment
Please fill out this survey to aid tailored education planning.
1.
Name
2.
Your Practice
3.
Email
4.
I am a
GP Registrar
General Practitioner
Practice Nurse
Practice administrator (please specify below)
Nurse
Allied Health (please specify below)
Specialist (please specifiy below)
Please specify
Pleave turn to next page
5.
Please indicate which speciallties you would be interested in HPMI covering in 2015
Interested
Addiction Medicine
Interested
Cardiology
Interested
Dermatology
Interested
Endocrinology
Interested
Emergency Medicine
Interested
Evidence Based Medicine
Interested
Gastroenterology
Interested
Genetics
Interested
Geriatrics
Interested
Haematology
Interested
Infectious Disease
Interested
Intensive Care Medicine
Interested
Immunology & Allergy
Interested
Men's Health
Interested
Mental Health
Interested
Muscles and Joints
Interested
Nephrology
Interested
Neurology
Interested
Obstetrics and Gynaecology
Interested
Occupational Medicine
Interested
Oncology
Interested
Ophthalmology
Interested
Oral Maxillofacial Surgery
Interested
Orthopaedics
Interested
Paediatrics
Interested
Pain Medicine
Interested
Palliative Medicine
Interested
Pathology
Interested
Pharmacology
Interested
Public Health
Interested
Radiology
Interested
Respiratory
Interested
Rehabilitation Medicine
Interested
Rheumatology
Interested
Technology
Interested
Please turn to next page for more Specialties
6.
Please indicate which speciallties you would be interested in HPMI covering in 2015
Interested
Men's Health
Interested
Sexual Health
Interested
Sleep Medicine
Interested
Sports Medicine
Interested
Surgery
Interested
Urology
Interested
Vascular
Interested
Women's Health
Interested
Wound Care
Interested
7.
Please provide specific topics for specialties you are interested in
8.
List any other specialties or topics