GME Seminar Evaluation Form for CME Credit Name* First Last UF ID #* GME Seminar Title* Expected Clinical Outcomes1. Will information gained from this program result in enhancing medical education?* Yes No 2. If yes, please list change(s) you intend to make in your practice as a result of this program.*3. Please rate your confidence in implementing these changes.* High confidence Moderate confidence Low/No confidence N/A 4. Please identify any barriers you perceive in implementing these changes (select all that apply).* Cost Lack of time to assess/counsel Lack of administrative support/resources Insurance/reimbursement issues Compliance issues Lack of consensus of professional guidelines 5. How will you address these barriers to implement changes in knowledge and behavior?*Basic Program Evaluation5 = Excellent / 4 = Good / 3 = Average / 2 = Fair / 1 = Poor6. The material was presented at an appropriate level.* 5 4 3 2 1 7. I have gained knowledge that will improve medical education.* 5 4 3 2 1 8. The program met my expectations in accomplishing the stated educational objectives.* 5 4 3 2 1 9. The program content was objective, balanced, and free from commercial bias or influence.* 5 4 3 2 1 10. Your overall rating of the quality of the education offered at this program.* 5 4 3 2 1 11. Additional Comments/Explanations:12. How can this program be improved? (Please list both strengths and weaknesses.)13. Based on your educational needs, please provide us with suggestions for future program topics and formats:
