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CME / CEU Content Questionnaire
Tell us more about your CME interests, and we'll help design your program.
* Indicates required question
Email
*
Your email
What is the overall topic you want to present?
*
If you are Unsure, type the biggest category you can think of, or Unsure.
Your answer
What format are you thinking for your CME?
*
Choose all that Apply.
Pre-recorded, available remotely
Live presentation only
Live presentation and Live-streamed
Recorded from Live, available remotely
Required
Are you thinking of one presentation or a series?
One presentation
A series
Clear selection
How many total hours of Activity are you considering?
One hour-long training is considered 1 CME credit.
Your answer
Who is your target audience for this CME?
*
Check all that apply
Physicians
Physician Assistants
Psychologists
Psychiatrists
Social Workers
Dentists
Pharmacists
Nurse Practitioners
Nurses
Public Health professionals
Other health professionals
Other:
Required
How many presenters will there be in total?
Your answer
Your Activity is based on what kind of GAP there is between current practice and ideal practice. Does your Activity address....................
Choose all that apply
a Knowledge GAP? - What is not known by the target audience?
a Competence GAP? - What is the target audience not able to do?
a Performance GAP? - What is it that the target audience knows to do, is able to do, but doesn't do?
Describe the GAPS you are filling with your Activity. What is it your audience doesn't know, is not able to do, or doesn't do it?
Your Activity will close this GAP.
Your answer
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