Which best describes you? * Choose one. Hospitalist for adults Hospitalist for children Nonhospitalist physician Nurse practitioner Physician assistant Other allied health professional Administrator Resident or Fellow Medical Student Other, please specify: Which best describes you? Other, please specify: If you are a hospitalist, who is your employer? * Choose one. Hospital or hospital managed corporation Multi-specialty or primary care medical group Local Hospitalist-onlygroup Multistate Hospitalist group or Hospitalist management company University or School teaching service University or School nonteaching service University or School combination Other, please specify: If you are a hospitalist, who is your employer? Other, please specify: If you are a hospitalist, what is the approximate size of your group? If you are part of a national company, use the size of your local group please. * Choose one. Solo 2-5 hospitalists 6-10 hospitalists 11-15 hospitalists 16-20 hospitalists 21-25 hospitalists >25 hospitalists Please rate the following components of HM17 On Demand: * PoorFairGoodVery GoodExcellent Overall Quality of Activity Overall Quality of Activity - Poor Overall Quality of Activity - Fair Overall Quality of Activity - Good Overall Quality of Activity - Very Good Overall Quality of Activity - Excellent Diversity of Topics / Sessions Diversity of Topics / Sessions - Poor Diversity of Topics / Sessions - Fair Diversity of Topics / Sessions - Good Diversity of Topics / Sessions - Very Good Diversity of Topics / Sessions - Excellent Ease of use and accessibility Ease of use and accessibility - Poor Ease of use and accessibility - Fair Ease of use and accessibility - Good Ease of use and accessibility - Very Good Ease of use and accessibility - Excellent Quality of recordings Quality of recordings - Poor Quality of recordings - Fair Quality of recordings - Good Quality of recordings - Very Good Quality of recordings - Excellent Overall value Overall value - Poor Overall value - Fair Overall value - Good Overall value - Very Good Overall value - Excellent Please indicate how much you agree or disagree with each of these statements: * Strongly DisagreeSomewhat DisagreeSomewhat AgreeStrongly Agree The content was relevant to my practice needs. The content was relevant to my practice needs. - Strongly Disagree The content was relevant to my practice needs. - Somewhat Disagree The content was relevant to my practice needs. - Somewhat Agree The content was relevant to my practice needs. - Strongly Agree The content was worth time and money spent. The content was worth time and money spent. - Strongly Disagree The content was worth time and money spent. - Somewhat Disagree The content was worth time and money spent. - Somewhat Agree The content was worth time and money spent. - Strongly Agree I would recommend HM17 On Demand to a colleague. I would recommend HM17 On Demand to a colleague. - Strongly Disagree I would recommend HM17 On Demand to a colleague. - Somewhat Disagree I would recommend HM17 On Demand to a colleague. - Somewhat Agree I would recommend HM17 On Demand to a colleague. - Strongly Agree The presentations appeared to be free of commercial bias. The presentations appeared to be free of commercial bias. - Strongly Disagree The presentations appeared to be free of commercial bias. - Somewhat Disagree The presentations appeared to be free of commercial bias. - Somewhat Agree The presentations appeared to be free of commercial bias. - Strongly Agree The content increased my knowledge and skills. The content increased my knowledge and skills. - Strongly Disagree The content increased my knowledge and skills. - Somewhat Disagree The content increased my knowledge and skills. - Somewhat Agree The content increased my knowledge and skills. - Strongly Agree Was there any commercial or other inappropriate bias in the content you viewed? * Yes No If yes, please specify: * Will this activity impact your practice? * Yes No How will this activity impact your practice? * Why won't this activity impact your practice? * Approximately what degree of confidence do you have that you will apply your new learning? * 100% 80% 60% 40% 20% None What one change will you make in your practice based on the skills and knowledge obtained from this activity? * Are there any perceived barriers in making change(s) identified? Additional Comments or Suggestions: Credit for HM17 On Demand can only be claimed once. Once you submit this final evaluation, you will not be able to claim additional CME credit. * If you are not ready to claim your CME, please do NOT submit this form. Return to the HM17 On Demand menu and continue to view sessions for credit. The CME for each session is recorded upon completion and the total will appear on your final CME certificate. I understand credit for HM17 On Demand can only be claimed once. I am finished viewing all sessions for which I plan to claim CME credit. Leave this field blank
