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


Baker Act
 
Not Valid For CME Credit After January 25, 2020

 

Nick Dewan, MD

 
Disclosure:  Planners/speaker for this activity disclosed no relevant financial relationships related to the content of this activity.





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Were the objectives of this educational activity met?
Yes No N/A
1. Define the criteria required for involuntary assessment due to a mental illness.
2. Explain history of involuntary confinement laws.

3. Know how to fill out a Baker Act Form.  Know who is allowed to rescind a Baker Act.
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       A BA52 form can be used to involuntary confine someone who is under the influence of alcohol.
      A      True
      B      False
   
Question 2       A guardian may involuntary commit an adult to a psychiatric hospital for treatment.
      A      True
      B      False
   
Question 3       The application of Baker Act is for the purpose of an involuntary examination.
      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.