Continuing Medical Education
Morton Plant Hospital (MS 611)
807 N. Myrtle Avenue
Clearwater, FL  33755
727-467-2517 Phone
727-467-2459 Fax

CONTINUING MEDICAL EDUCATION ACTIVITY EVALUATION AND TEST FORM
Complete and return to receive CME credit


Pathway Driven Quality Medicine
 
Not Valid For CME Credit After September 10, 2020

 

Heather Germann, MD & Paul Lewis, MD






All fields in red are mandatory

Name:

Email:

If you are new to our CME Program, or if your status has changed, please complete this section of the form.

Phone:

Street Address:
City: , State: Zip:



Were the objectives of this educational activity met?
Yes No N/A
1. Explain the initiatives Baycare Health System has undertaken to provide the highest quality cost effective health care.
2. Recognize the importance of minimizing clinical variation in patient care and how patient care pathways play a role in doing such.

3. Describe the way evidence based clinical pathways are designed and implemented at Baycare.  Review one of the current clinical pathways.
4. Overall, was the speaker(s) knowledgeable regarding the content?  If no, please explain:  
5. Was there an opportunity to discuss practice-relevant issues with the speaker(s)? If no, please explain:  
6. Do you feel the activity was scientifically sound and free of commercial bias* or influence?  If no, please explain:  
*Commercial bias is defined as a personal judgment in favor of a specific product or service of a commercial interest.
7. Please identify how you may improve your competence and/or performance as a result of attending this activity (select all that apply):
This activity validated my current practice; no changes will be made
Create/revise protocols, policies, and/or procedures
Change the management and/or treatment of my patients
Other, please specify:

8. How might the format of this activity be improved for the content presented (select all that apply)?
  Format was appropriate; no changes needed
  Include more case-based presentations
  Increase interactivity with attendees
  Add breakouts for subtopics
  Schedule more time for Q & A
  Add a hands-on instructional component
Other, describe:
9. Please describe any clinical situations that you find difficult to manage or resolve that you would like to see addressed in future educational activities:   

  

Question 1       Clinical pathways help doctors provide more efficient, higher quality patient care
      A      True
      B      False
   
Question 2       If a physician consistently reviews journals and journal reviews  2 hours per week, then it is possible to keep up with all the new research studies.
      A      True
      B      False
   
Question 3       A patient who is on Lasix 40 mg daily at home presents in heart failure.  The initial IV Lasix dose should be 60-100 mg (1.5 – 2.5 x home dose IV)
      A      True
      B      False



Morton Plant Mease Health Care is accredited by the Florida Medical Association to provide continuing medical education for physicians.

Morton Plant Mease Health Care designates this activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should claim credit commensurate with the extent of their participation in the activity.