CME Jan 6 2022 GHS Survey Form – American Association of Physicians of Indian Origin

Continuing Medical Education
Competence Evaluation

Troubled waters in Safe Harbors, Avoiding legal pitfalls, fraud and abuse. A practical guide for health care practitioners
CME Hours:: 2.5

First name*

Last name*

Address*

City*

State*

Zip*

CMS Member:*

Yes

ABIN Member:*

Yes

ABIM Number

Email*

Phone*

Fax

PRE-SURVEY COMPETENCE EVALUATION

Instructions: For each statement, circle the appropriate number to indicate your response:

Pre-Survey Competence Evaluation*

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
1. The professional practice gap (educational needs) identified for this activity matches my current professional needs.
2. This CME activity promotes practical changes or strategies that will enhance my professional practice and competence.
3. This activity addresses areas of content that are relevant and have a direct impact on my professional practice or competence.
4. It is clear to me what the desired learning outcomes (educational /objectives) are for this activity.
5. Based on the stated desired learning outcomes (ideal competence) designed for this activity, my professional practice is in need of improvement(s).

Notes for Q4:
At the conclusion of this activity, participants should be able to:
LEARNING OBJECTIVES

TOPIC: COVID 19 Perspectives on Omicron
1. Understand the unique attributes of the Omicron variant vis-a-vis other variants
2. Describe the epidemiological strategies for addressing the Omicron Variant
3. Describe newer clinical management strategies relevant to emergence of the Omicron Variant.

TOPIC: Strategies to prevent progression of Chronic Kidney Disease
1. To understand the magnitude of CKD epidemic
2. To learn the etio-pathogenesis and current criteria of diagnosis of CKD

TOPIC: The Neglected: Hospital Acquired Infections during the Covid-19 pandemic
1. Understanding the impact of Covid pandemic on HAI (hospital acquired infections)
2. Certain HAIs such as CLABSI (central line associated blood stream infection) and SSIs (colon/abdominal hysterectomy surgical site infection) are CMS KPIs which impact pay for performance
3. How to prevent HAIs during the Covid pandemic?

TOPIC: Can change in lifestyle prevent cancer?
1. Know the lifestyle factors causing cancer
2. Learn about preventive measures
3. Learn if changes in lifestyle will result in Positive outcome.

TOPIC: “Don’t miss the low hanging fruit" a case based discussion on the lost art of observation
A. Understand what burnout is and how it is measured
B. Learn causes of burnout and its effects on personal and professional life
C. Learn how Covid pandemic affected the burnout in healthcare personnel and learn strategies to prevent burnout.

POST-SURVEY COMPETENCE EVALUATION

Instructions: For each statement, circle the appropriate number to indicate your response:

Post-Survey Competence Evaluation*

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
1. This activity met with my current professional needs.
2. Upon completion of this activity, I feel empowered to implement specific changes or strategies that will enhance my professional practice and competence.
3. The content of this activity served to enhance my professional practice and competence.
4. It is clear to me how I would implement the desired learning outcomes (changes or new strategies) in my practice, if given the chance.
5. The selected faculty members, moderators and/or facilitators met with my professional expectations.
6. The educational design and format chosen for this activity were appropriate for the setting, and desired learning outcomes.

7. In what way could this CME activity be improved? (Please respond in terms of content, faculty selection, learning outcomes or expected changes, etc)*

8. What were some of the strengths of this CME activity?*

9. As a result of this activity, and in striving for ideal professional practice and competence, I will make the following changes:*

10. Did this CME activity actively promote improvements in health care that were free of commercial bias and/or promotion?*

Yes

If No, please explain why?

11. Please list at least three (3) professional practice gaps (educational needs or problems areas) that you would like to see addressed for your practice in future CME activities:*

Signature*

Instructions: For each statement, circle the appropriate number to indicate your response:

Instructions: For each statement, circle the appropriate number to indicate your response:

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