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MOC Part II/CME Peer Review
1.
First and Last Name:
2.
Degree:
3.
Email:
4.
Name of program being reviewed
5.
Please rate content of questions:
Excellent
Satisfactory
Poor
6.
Postive Comments:
7.
Suggestions:
8.
Summarize the intended learning gap briefly in your own words
9.
Has any significant aspect of the presentation been neglected in post-survey questions?
10.
Do the pre-and post-survey questions show a change in knowledge?
Yes
No
Please elaborate:
