Perinatal Depression CME Survey
1.
What is your first name?
2.
What is your last name?
3.
What is your American Academy of Pediatrics (AAP) ID number?
4.
What is your role?
MDs/DOs/Residents
Allied Health Professionals/other learners
5.
Were the learning objectives of this CME activity achieved?
Yes
No
6.
Based on what you learned in this activity, do you plan to change:
Yes
No
The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)?
Yes
No
What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)?
Yes
No
7.
If YES to either of the above questions, please identify any changes in practice that you plan to make.
8.
If NO and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all that apply)
Systems-related barriers (Please describe in "other" textbox)
The activity reinforced what I am already doing in practice
No practice changes were recommended
Changes were not appropriate options for my practice
Other (please specify)
9.
On a scale of 1 to 7, what was the return on your investment of time/effort for participating in this activity?
Low Return
Medium Return
High Return
Low Return
Medium Return
High Return
10.
Do you feel a commercial product, device, or service was inappropriately promoted in the educational content?
No
Yes (please specify)
Current Progress,
0 of 10 answered