Sample Needs Assessment Survey Page 2

9a. What gaps do you believe are directly affecting your practice? Please check off any or all of the following:

Basic Knowledge

Technical Skill (ability to execute)

Outcomes/Results

9b. What subject areas would this gap apply to (e.g., diabetes management, diagnosis of breast cancer, etc.)?

10. How important to your learning is Live Interaction with the Faculty?

Extremely Important

Very Important

Important

Low Importance

Not At All

Important

11. Has a particular CME presentation specifically altered your practice pattern? Please describe the CME topic

or speaker and how this changed your practice.

12. I often don’t have enough time to keep up with advances and published articles on the following topics, so I

would be interested in CME on these topics.

13. What are your suggestions for future topics?

0 votes

Parent category: Life