EXPLORING THE EVOLUTION AND IMPACT OF HEALTHCARE TECHNOLOGY CME EVALUATION
1.
FIRST AND LAST NAME
2.
EMAIL ADDRESS
3.
PLEASE SELECT CREDENTIALS FOR YOUR CERTIFICATE:
MD
DO
Other (please specify)
4.
DID YOU PERCEIVE ANY COMMERCIAL BIAS ASSOCIATED WITH THIS EVENT?
Yes
No
5.
IF YOU ANSWERED YES, PLEASE DESCRIBE PERCEIVED BIAS:
6.
HAVE YOU IMPLEMENTED THE USE OF TELEMEDICINE IN YOUR PRACTICE IN THE LAST TWO YEARS?
Yes
No
Not Applicable to my situation
7.
PLEASE SELECT YOUR CURRENT STATUS:
EMPLOYED BY A HEALTH SYSTEM
EMPLOYED BY A GROUP PRACTICE
ACADEMIC
RETIRED
PRIVATE PRACTICE
RESIDENCY
MEDICAL STUDENT
Other (please specify)
8.
IF YOU HAVE IMPLEMENTED THE USE OF TELEMEDICINE, PLEASE RANK YOUR EXPERIENCE. IF YOU DO NOT USE TELEMEDICINE, PLEASE SKIP THIS QUESTION.
VERY NEGATIVE
1 star
SOMEWHAT NEGATIVE
2 stars
NEUTRAL
3 stars
SOMEWHAT POSITIVE
4 stars
VERY POSITIVE
5 stars
9.
WHAT NEW STRATEGIES WILL YOU IMPLEMENT BASED ON YOUR PARTICIPATION IN THIS ACTIVITY?
EXPLORE THE USE OF TELEMEDICINE IN MY PRACTICE
INCREASE USE OF TELEMEDICINE WITH PATIENTS
UTILIZE REPORTING/BENCHMARK INFORMATION FROM EHR
ENCOURAGE PATIENTS TO UTILIZE TELEMEDICINE SERVICES
None of the above
Other (please specify)
10.
PLEASE LIST ANY EDUCATIONAL NEEDS YOU HAVE THAT MAY BE ADDRESSED THROUGH THE KMA CME GUARANTEE ONLINE OFFERINGS: