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SWC Online Module CME Post-Test & Attestation:
Fostering Life Long Learners, Part 1: Encouraging Reflective Practice
SWC Online Module,
Fostering Life Long Learners, Part 1: Encouraging Reflective Practice
WVSOM SWC Online Module:
Fostering Life Long Learners, Part 1: Encouraging Reflective Practice
To receive CME credit for the WVSOM Statewide Campus (SWC) Online Module,
Fostering Life Long Learners, Part 1: Encouraging Reflective Practice,
please complete the following survey and also complete the attendance attestation (final question).
DO CME credits will be uploaded into the AOA TraCME database; n
on-DO attendees will be issued a hard copy certificate, which can then be submitted by the attendee to the appropriate accrediting body for CME credit.
Any questions can be submitted to
oaed@osteo.wvsom.edu
*
1.
On a scale from 1 (strongly disagree) to 5 (strongly agree) to:
(Required.)
Strongly Disagree
Somewhat Disagree
Agree
Somewhat Agree
Strongly Agree
I found this event to be valuable.
Strongly Disagree
Somewhat Disagree
Agree
Somewhat Agree
Strongly Agree
I would attend this event again.
Strongly Disagree
Somewhat Disagree
Agree
Somewhat Agree
Strongly Agree
I can use this information when teaching students and/or residents.
Strongly Disagree
Somewhat Disagree
Agree
Somewhat Agree
Strongly Agree
This event has reaffirmed my existing knowledge in precepting students and residents.
Strongly Disagree
Somewhat Disagree
Agree
Somewhat Agree
Strongly Agree
I would recommend this event to others.
Strongly Disagree
Somewhat Disagree
Agree
Somewhat Agree
Strongly Agree
2.
What is one thing that you learned that you didn't know before this event.
3.
What will you take away from this program and use in your practice.
4.
Additional comments?
CME Post-Test
*
5.
According to the Master Adaptive Learner Module – adaptive expertise is the ability to identify and solve new problems.
(Required.)
True
False
*
6.
A preceptor should always maintain the role of expert and never admit he/she is lacking knowledge in the content.
(Required.)
True
False
*
7.
Identify one stage of the Master Adaptive Learner module:
(Required.)
*
8.
What will you take away from this faculty development webinar that you will be able to use in your practice
immediately
?
(Required.)
*
9.
What will you take away from this faculty development webinar that you could work towards using in your practice
over the next couple of months
?
(Required.)
Attendance Attestation
*
10.
By providing my name, credentials, and address below, I attest to .5 hour AOA Category B, or .5 hour AMA Category 1 Category credit for completing the WVSOM SWC Online Module,
Fostering Life Longer Learners, Part 1: Encouraging Reflective Practice
(Required.)
Name (as it should appear on your certificate)
Credentials (DO, MD, other-please specify)
Address
City
State
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP Code
Email Address
DO CME certificates will be uploaded directly to AOA TraCME; non-DO CME Certificates will be mailed to the address provided above. Please be sure to provide an address, in addition to your name, if you aren't a DO so that we may mail your CME certificate to you. Please contact WVSOM Office of Assessment and Educational Development at
oaed@osteo.wvsom.edu
or 304-793-6563 with any questions. Thank you.