Retrospective CME Survey Questions

UNC School of Medicine's CPD Office requires CME credit recipients to evaluate their commitment to change for courses they have received this credit type.

You are receiving this evaluation to determine the amount of change or barriers to change you have experienced in implementing the knowledge you received from each course.

Please submit your answers below.

First Name *

Last Name *

Email Address *

Webinar Title *

Have you changed your practice based on the information presented at this activity? *

Yes

No

If yes, please indicate the areas in which you made changes (mark all the apply): *

Implemented new protocols and/or guidelines

Made changes to treatment plans and patient management

Improved quality of care

Improved patient safety

Improved teamwork and communication

Made changes to administrative systems

Made changes to teaching plans and student / resident training

Please provide examples of changes you made: *

Please provide examples of changes you made:

Did you encounter any barriers to implementing changes based on the information presented? *

Yes

No

If YES, please indicate what barriers you encountered (mark all that apply): *

My practice already incorporates the information presented

The information presented did not fit my practice

I did not have time to make the changes I wanted

I did not have the resources to make the changes I wanted

Comments / Suggestions on how this activity can be improved

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