Physician Resources

Complete the following questions. (*) Indicates required field

* Please indicate only the modules you have viewed.

Universal HIV Screening and Reducing HIV Disparities
Self Management Strategies for Vulnerable Populations
Use of Complementary and Alternative Therapy By Patients
Preparing Your Practice to Address Family Violence
Connecting Patients to Community Resources
Patient Sexual History: What You Need to Know to Help

* As a result of participating in this activity, I am able to:

Better recognize the special needs of vulnerable patient populations that impact their health status and healthcare.
--Select one-- 5 - Strongly agree 4 - Agree 3 - Neutral 2 - Disagree 1 - Strongly disagree

Apply strategies in medical practice that improves the healthcare response to these special needs.
--Select one-- 5 - Strongly agree 4 - Agree 3 - Neutral 2 - Disagree 1 - Strongly disagree

* As a result of participating in this educational activity (please select one):

I will change my practice. How?

I will not change my practice. Why?

This activity reinforced my current practice.
Other (please explain)

I do not have a clinical practice.

* I perceived commercial bias in this activity (defined as a personal judgment in favor of a specific proprietary business interest of an entity that produces, markets, sells, or distributes healthcare goods or services consumed by, or used on patients).

If yes, please specify

* Overall, I would rate this activity:
--Select one-- 5 - Excellent 4 - Very good 3 - Good 2 - Fair 1 - Poor

Comments

Participation record

* Total credits earned:
--Select one-- 0.25 = 15 mins. 0.50 = 30 mins. 0.75 = 45 mins. 1.00 = 1 hour 1.25 = 1 hour, 15 mins. 1.50 = 1 hour, 30 mins.

* Physician certificate of credit (select one)

US licensed physician
Non-US licensed physician
Non-physician certificate of participation

US licensed physicians, please provide Medical Education Number and date of birth.

* ME number¹ How do I find my ME number?

*Date of birth² (mm/dd/yy)

*First name

Middle initial

*Last name

*Degree

*E-mail address (required for certificate)

*City

* State:
Choose a state Alaska Alabama Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

¹ The medical education [ME] number is an 11-digit number assigned to every physician in the US by the AMA for identification and recording of basic information. The ME number is found on the AMA membership card.

² Date of birth assists in uniquely identifying physicians for purposes of credit processing.