Please complete this survey to help the FMEC plan residency learning network projects.

The FMEC is seeking family medicine residency program (FMRP) leadership, faculty, residents, and coordinators within the Northeastern Region of the U.S. to serve on a FMEC Network Advisory Committee (NAC) for our NEW Residency Learning Networks (RLN) initiative and/or to indicate interest in participating in upcoming projects. The role of NAC members is to help plan learning projects, to identify learning objectives, to be subject matter experts for clinical and GME topics, and/or to join a project(s) as an FMRP leader or learner. The FMEC will provide the infrastructure, tools, and administrative support for approved RLNs projects to be planned and implemented starting in fall 2025.

If you are currently affiliated with a family medicine residency in the Northeastern part of the U.S., please complete the brief survey. Your responses will help FMEC/NAC identify and prioritize projects to be implemented through the RLNs.

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* 1. Name and Degree:

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* 2. Email:

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* 3. Phone:

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* 4. Name of Family Medicine Residency Program:

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* 5. Name of Program Director:

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* 6. Name of Program Coordinator:

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* 7. Select the type of program or clinic geographic region.

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* 8. Select type of program associated with your department.

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* 9. Most Learning Network Projects will be for RESIDENTS and FACULTY. Please numerically rank-order the 10 topics below from highest learning priority to lowest learning priority (1 is highest, 10 is lowest). You can drag and drop them in your preferred order.

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* 10. Some Learning Network Projects will be for COORDINATORS and GME STAFF. Please numerically rank-order the 9 topics below from highest learning priority to lowest learning priority (1 is highest, 9 is lowest). You can drag and drop them in your preferred order.

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* 11. What other topics (clinical and/or GME) would you be interested in pursuing through FMEC RLN projects? Please briefly explain.

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* 12. Are you interested in serving on the Network Advisory Committee (NAC)?

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* 13. Are you interested in participating in a future RLN project?

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* 14. Are you interested in, or do you think others in your program would be interested in, participating in a future FMEC RLN activity?

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