Question Title

1. Organization Name (Required.)

Question Title

2. Email Address  (Required.)

Question Title

3. Select your organization type (Required.)

Question Title

4. Select the option which best describes your role (Required.)

Question Title

5. My organization’s CME activities that involve a patient care component include CLC/IB (Required.)

Question Title

6. What are some ways your organization is addressing the CLC/IB requirements? (check all that apply) (Required.)

Question Title

7. Have you seen an impact on patient care and/or outcomes at your organization as a result of addressing CLC/IB in physician education? (Required.)

Question Title

8. What challenges and/or barriers to implementing the standards have you encountered? (check all that apply (Required.)

Question Title

9. We love to share examples of how the standards have been implemented! Please submit examples below. (Required.)

Question Title

10. Please check here if CMA may share your example with other CME providers (Required.)

T