SMA Physicians Survey 2014

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* 1. I am licensed to practice in the following states (check all that apply):

Alabama

Mississippi

Florida

Tennessee

Georgia

Other (please specify)

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* 2. The following best describes my practice type:

Solo Practice

Small or Medium Group Practice

Large Group Practice

HMO

Integrated Delivery System

Hospital-based Practice

Military

Locum Tenen

Retired - still maintain licensure

Other (please specify)

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* 3. I prefer the following format:

“On-site” meeting

Live Webcast

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* 4. How likely would you be to attend a session on the following CME-accredited topics?

	I would NOT attend	I might attend	I WOULD ATTEND if at all possible
Prevention of Medical Errors	Prevention of Medical Errors I would NOT attend	Prevention of Medical Errors I might attend	Prevention of Medical Errors I WOULD ATTEND if at all possible
Update on Prescribing Opioids/Controlled Substances	Update on Prescribing Opioids/Controlled Substances I would NOT attend	Update on Prescribing Opioids/Controlled Substances I might attend	Update on Prescribing Opioids/Controlled Substances I WOULD ATTEND if at all possible
Health Reform Update	Health Reform Update I would NOT attend	Health Reform Update I might attend	Health Reform Update I WOULD ATTEND if at all possible
Healthcare Legal Update	Healthcare Legal Update I would NOT attend	Healthcare Legal Update I might attend	Healthcare Legal Update I WOULD ATTEND if at all possible
Disaster Preparedness	Disaster Preparedness I would NOT attend	Disaster Preparedness I might attend	Disaster Preparedness I WOULD ATTEND if at all possible
ICD-10: Training Your Staff	ICD-10: Training Your Staff I would NOT attend	ICD-10: Training Your Staff I might attend	ICD-10: Training Your Staff I WOULD ATTEND if at all possible
ICD-10: Planning For The “What-if’s”	ICD-10: Planning For The “What-if’s” I would NOT attend	ICD-10: Planning For The “What-if’s” I might attend	ICD-10: Planning For The “What-if’s” I WOULD ATTEND if at all possible
ICD-10: The Final Countdown: Am I Ready?	ICD-10: The Final Countdown: Am I Ready? I would NOT attend	ICD-10: The Final Countdown: Am I Ready? I might attend	ICD-10: The Final Countdown: Am I Ready? I WOULD ATTEND if at all possible

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* 5. How likely would you be to attend a session on the following NON-accredited topics?

	I would NOT attend	I might attend	I WOULD ATTEND if at all possible
Selling/Closing a Medical Practice	Selling/Closing a Medical Practice I would NOT attend	Selling/Closing a Medical Practice I might attend	Selling/Closing a Medical Practice I WOULD ATTEND if at all possible
Practice Valuations	Practice Valuations I would NOT attend	Practice Valuations I might attend	Practice Valuations I WOULD ATTEND if at all possible
Succession Planning	Succession Planning I would NOT attend	Succession Planning I might attend	Succession Planning I WOULD ATTEND if at all possible
Retirement Planning – Individual	Retirement Planning – Individual I would NOT attend	Retirement Planning – Individual I might attend	Retirement Planning – Individual I WOULD ATTEND if at all possible
Retirement Planning – Employer	Retirement Planning – Employer I would NOT attend	Retirement Planning – Employer I might attend	Retirement Planning – Employer I WOULD ATTEND if at all possible
Risk Assessment (varying types of insurance) – Individual Coverage	Risk Assessment (varying types of insurance) – Individual Coverage I would NOT attend	Risk Assessment (varying types of insurance) – Individual Coverage I might attend	Risk Assessment (varying types of insurance) – Individual Coverage I WOULD ATTEND if at all possible
Risk Assessment (varying types of insurance) – Group Coverage	Risk Assessment (varying types of insurance) – Group Coverage I would NOT attend	Risk Assessment (varying types of insurance) – Group Coverage I might attend	Risk Assessment (varying types of insurance) – Group Coverage I WOULD ATTEND if at all possible
Health Insurance	Health Insurance I would NOT attend	Health Insurance I might attend	Health Insurance I WOULD ATTEND if at all possible
Financial Planning	Financial Planning I would NOT attend	Financial Planning I might attend	Financial Planning I WOULD ATTEND if at all possible
Group Retirement Plan Analysis	Group Retirement Plan Analysis I would NOT attend	Group Retirement Plan Analysis I might attend	Group Retirement Plan Analysis I WOULD ATTEND if at all possible
Medical Liability Insurance	Medical Liability Insurance I would NOT attend	Medical Liability Insurance I might attend	Medical Liability Insurance I WOULD ATTEND if at all possible

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* 6. SMA is researching the possibility of becoming a training center for the National Disaster Life Support Foundation (NDLSF). The NDLSF oversees the National Disaster Life Support (NDLS) courses, a series of education programs to better prepare healthcare professionals and emergency response personnel for mass casualty events. The NDLS courses are comprehensive, all-hazards, competency-based, standardized, and multi-disciplinary. These courses assist health professionals in responding to mass casualty events, regardless of the cause. Are you interested in participating in this type of program?

Yes

Comments

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* 7. Please use this area to describe other topics of interest to you (be specific), keeping in mind topics that may benefit your knowledge of the business side of your practice, fulfillment of state license or certification requirements, being up-to-date with PPACA mandates/deadlines, or updates on commonly seen clinical areas.

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* 8. Preferred day of the week/time of day - check all that apply:

Friday, beginning at 3:00 pm Central Time, up to 3 hours

Saturday, beginning at 8:00 am Central Time, up to 3 hours

Sunday, beginning at 2:00 pm Central Time, up to 3 hours

Any weekday afternoon, beginning at 6:00 pm Central time, up to 3 hours

Other (please specify)

SMA Physicians Survey 2014

1. SMA Physicians Survey 2014

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* 1. I am licensed to practice in the following states (check all that apply):

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* 2. The following best describes my practice type:

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* 3. I prefer the following format:

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* 4. How likely would you be to attend a session on the following CME-accredited topics?

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* 5. How likely would you be to attend a session on the following NON-accredited topics?

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* 8. Preferred day of the week/time of day - check all that apply:

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* 9. I am willing to pay a modest registration fee: