Please take a few minutes to complete this brief survey to help us identify and meet your CME learning needs. 

* 1. I am a(n):

* 2. DEPARTMENT/SPECIALTY

* 3. Age:

* 4. CITY AND STATE where you work:

* 5. How many EVMS-sponsored CME programs/activities have you participated in during the past year?

  none 1-10 11 or more
Live grand rounds/lecture series
Conference
Case presentation
Journal-based CME
Archived CME
Speaker Credit
Preceptor Credit

* 6. Which of the following EVMS sponsored grand rounds or case presentations have you attended/participated in during the past year? (check ALL that apply)

* 7. What is your primary purpose for participating in EVMS CME? (check ONE)

* 8. Are your CME needs being met by EVMS?

* 9. What, if any, of the following obstacles prevent you from participating in EVMS-sponsored CME programs/activities? (check ALL that apply)

* 10. Which of the following learning formats retains your interest most effectively? (PLEASE RANK RESPONSES -- #1 is most effective/interesting to #6 is least effective/interesting)

* 11. Have there been any speakers or topics in CME activities sponsored by EVMS CME that have changed the way that you practice?

* 12. If YES, please list and describe why and how it changed your practice.

* 13. Are you receiving the weekly “What’s New in EVMS CME” email?

* 14. If so, do you find it helpful?

* 15. If not, may we add you to our mailing list? Preferred email address:

* 16. EVMS broadcasts and maintains recordings of the following grand rounds: Internal Medicine, OB/GYN, Pediatrics, Family & Community Medicine, Psychiatry, Otolaryngology, and Surgery Lectureship via CME LIVE! at www.evms.edu/cmelive

Which of these televised grand rounds programs have you viewed in the past year? (Check ALL that apply)

* 17. If you have NOT viewed any of these televised grand rounds activities in the past year, which of the following obstacles prevented you from participating:  (Check ALL that apply)

* 18. What source do you use most often to obtain CME credit? (PLEASE RANK YOUR TOP 3 with #1 being the source you use most and #3 being the source used least.)

* 19. Please provide suggestions for how EVMS CME can better meet your needs (be as specific as possible).

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