Continuing Medical Education Survey

The following series of questions help inform our understanding of your continuing medical education interests. We appreciate your participation.

Question Title

* 1. Check the CME categories below that would be of interest to you:

Allergy/Immunology

Urgent and Emergent Medical Care

Cardiovascular Medicine and Surgery

Dermatology

Diabetes-Endocrinology

Gastroenterology

Blood Disorders and Malignancies

Infectious Diseases

Urinary Tract Disorders, Fluids, and Electrolytes

Neurologic Disorders

Respiratory Disorders and Critical Care

Rheumatology

Geriatrics

Behavioral Medicine

General Surgery

Otolaryngology

Ophthalmology

Pharmacy and Therapeutics

Primary Care Medicine

Obstetrics and Gynecology

Orthopaedics

Health Care Management and Economics

Medical Ethics

Question Title

* 2. For the topics you indicated above, please tell us any specific topics or speakers that would be of interest to you:

Question Title

* 3. Indicate any OTHER topics/speakers that would be of interest to you:

Question Title

* 4. Indicate specific topics/speakers that you think would be appropriate for our SPRING and FALL CLINICS:

Question Title

* 5. Indicate specific topics that YOU would be interested in presenting at Medical Grand Rounds:

Question Title

* 6. Presuming we can provide relevant, high quality CME, would you consider attending Medical Grand Rounds on a regular basis?

Yes

Maybe

Question Title

* 7. Select your day, time, and method of delivery preferences below

	Day of the Week	Time of the Day	Delivery Method
Preferences:	Preferences: Day of the Week menu	Preferences: Time of the Day menu	Preferences: Delivery Method menu

Continuing Medical Education Survey

Question Title

* 1. Check the CME categories below that would be of interest to you:

Question Title

* 2. For the topics you indicated above, please tell us any specific topics or speakers that would be of interest to you:

Question Title

* 3. Indicate any OTHER topics/speakers that would be of interest to you:

Question Title

* 4. Indicate specific topics/speakers that you think would be appropriate for our SPRING and FALL CLINICS:

Question Title

* 5. Indicate specific topics that YOU would be interested in presenting at Medical Grand Rounds:

Question Title

* 6. Presuming we can provide relevant, high quality CME, would you consider attending Medical Grand Rounds on a regular basis?

Question Title

* 7. Select your day, time, and method of delivery preferences below

Question Title

* 8. Please enter your specialty in the space provided.

Question Title

* 9. Name (Only needed if you are interested in giving a presentation)

Question Title

* 10. Additional comments: