Clinician Learning from Coronavirus COVID–19
Dear MSA Members,

Thank you for everything you are doing during the COVID-19 crisis! To recognize your efforts, the Michigan Licensing and Regulatory Affairs department (LARA) may recognize hours worked responding to the COVID-19 emergency as hours toward continuing education courses or programs required for licensure.

This survey is designed to assist you with tracking these hours. A summary of your hours tracked will be provided once normal operations resume.
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Executive Order 2020-82 states that “effective immediately and continuing through June 9th, 2020 at 11:59 pm, LARA may recognize hours worked responding to the COVID-19 emergency as hours toward continuing education courses or programs required for licensure.”

Please only claim hours worked directly responding to the COVID 19 emergency. This would include: research, reading articles, listening to podcasts, discussing plans and direct clinical care of COVID-19 patients.

YOU MUST COMPLETE THE SURVEY COMPLETELY and thoroughly document what you learned or we cannot issue CME (Category 1 AMA) credit. Incomplete surveys cannot be processed.

PLEASE SUBMIT A NEW SURVEY FOR EACH DAY SPENT RESPONDING TO COVID-19.

The dates applicable are only per the Governor of Michigan’s Executive Order (currently March 17, 2020 - June 9, 2020).

For questions, please contact Hillary Walilko at walilko.h@gcsionline.com or 517-346-5088.
Email address *
Untitled Title
Untitled Title
First Name *
Last Name *
Please select one *
Date of COVID-19 Response *
MM
/
DD
/
YYYY
COVID-19 Response Role (select multiple) *
Required
Amount of time (in hours) spent on this date responding to COVID-19 (round to the nearest 15-minutes: 12 min = .25; 30 min = .50; 45 min = .75) *
In order for MSA to track your credits, you must briefly describe the key lessons you discovered while treating COVID-19 and/or imteracting with your colleagues during this health crisis. *
By submission of this form, I attest the hours are accurate and were worked directly responding to the COVID-19 emergency. *
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