Members Needs Assessment Survey

Purpose: The CCPS CME Committee, as a functioning committee of CCPS, has as its goal the provision of educational activities in order to maintain and improve the clinical competency and performance of its members, mandated by the American Board of Medical Specialties (ABMS) as a necessary component of maintenance of certification, in compliance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME).

Target audience: Psychiatrists, psychiatric members-in-training (MIT), other physicians, and associated healthcare providers.

Content areas: The research, diagnosis, treatment, and prevention of psychiatric disorders.

Types of activities provided: An annual conference consisting of plenary didactics, case presentations, panel discussions and workshops (Element 2.1).

Expected results: To maintain, develop, or increase the knowledge and skills (competence) as well as professional performance and relationships that a psychiatrist uses to provide services for patients, the public and/or the profession. A CME activity will be considered successful should a significant proportion of learners participating in each activity report an important learning outcome they intend to incorporate into their practice (Element 2.1).

Thank you for participating in this survey. This is your opportunity to inform the Annual Meeting and CME Committee of your educational needs, so that we are able to plan the best speakers for the most relevant topics that will make a difference in your practice of medicine and psychiatry. While you have the option of not completing any question, please know that access of this survey will be limited to the Annual Meeting and CME Committee members, and individual information will not be distributed outside of the committee.

Using the five-point scale below, please indicate the degree to which you agree with the following statements:

I need to learn more information about this topic. (Assessment, diagnosis, etc.)
I need to learn more skills about this topic. (Psychotherapy, medication, etc.)

Not at all

Indifferent

Absolutely

Collaborative Care/Coordination of Psychiatric Care with Primary Care

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Anxiety disorders

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Children, Adolescents and Families Assessment and Care

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Cultural Aspects of Assessment and Care

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Eating disorders

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

End-of-life and Terminal Illness

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Geriatrics

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Legal Issues/Forensic Psychiatry

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Lesbian, gay, bisexual, transsexual, queer, intersex issues

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Medical-Up Dates in Psychiatric Practice

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Mood disorders

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Neurologic Disorders/Neuroscience

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Genetics

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Pain Assessment and Management

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Personality disorders

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Mentorship and Professional development

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Somatoform disorders

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Evidence Based Psychotherapy

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Psychotic disorders

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Sleep disorders

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Spiritual Aspects of Assessment and Care

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Substance use disorders

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Women’s Health in Assessment and Care

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Psychiatric Technique-Interviewing/Psychotherapy

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Physical Exam Skills For Psychiatrists

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Infectious Disease In Psychiatric Practice: i.e. HIV/Hepatitis B/C STD’s

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Consult (CL) Psychiatry (Psychosomatic Medicine)

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Medical Economics in Psychiatry (Business Models/Billing/Insurance Issues

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Maintenance Of Certification (MOC)

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Preventative Health In Psychiatric Practice

	1	2	3	4	5
Information	Information - 1	Information - 2	Information - 3	Information - 4	Information - 5
Skills	Skills - 1	Skills - 2	Skills - 3	Skills - 4	Skills - 5

Specifically about...

Are there speakers you have heard and enjoyed that we should consider inviting to present to our Annual Meeting in the future?

One name per line

What have we forgotten? We welcome your comments and suggestions regarding CME and your educational needs.

Using the 5 point scale below, please rate your satisfaction with the conference:

Not at all

Indifferent

Absolutely

grid1

	1	2	3	4	5
Conference Venue	Conference Venue - 1	Conference Venue - 2	Conference Venue - 3	Conference Venue - 4	Conference Venue - 5
Lodging (If staying on site)	Lodging (If staying on site) - 1	Lodging (If staying on site) - 2	Lodging (If staying on site) - 3	Lodging (If staying on site) - 4	Lodging (If staying on site) - 5
Food	Food - 1	Food - 2	Food - 3	Food - 4	Food - 5
Locale	Locale - 1	Locale - 2	Locale - 3	Locale - 4	Locale - 5
CCPS Staff	CCPS Staff - 1	CCPS Staff - 2	CCPS Staff - 3	CCPS Staff - 4	CCPS Staff - 5
Timing/Length of conference, breaks	Timing/Length of conference, breaks - 1	Timing/Length of conference, breaks - 2	Timing/Length of conference, breaks - 3	Timing/Length of conference, breaks - 4	Timing/Length of conference, breaks - 5

Suggestions for improvement

Suggestions for location/venue of future conferences

Full Name *

E-Mail *

Phone Number *

Street Address *

City, State, Zip *