Form for Genesys Regional Medical Center Physicians Use one form for each clinical question searched. For questions, call Sharon Wilson CME Office, Genesys Learning Institute 810-606-5988 or Genesys Medical Library, 810-606-5260. Instructions: 1. Perform search 2. Select the 1-3 most relevant articles 3. Complete this form. 4. Click "Submit" at the bottom of this form. Credit is 0.5 Category 1 credits per completed activity. Credits will appear on transcripts as "Internet POC CME." Physician Name: Phone: Email: 1. What is the clinical topic/question? 2. Is this question related to (check all that apply): A rare condition A condition not managed recently A diagnostic dilemma A need for new clinical information A controversial clinical issue Other (specify): 3. How would you define your findings? Found clinical information that answered my question Found clinical information that was related, but it didn't answer my question Did not find any clinical information that addressed my question Other (specify): Please specify citation from peer reviewed journal/book or topic reviews found on websites that follow peer review standards. Please type in 1-3 citations of the most relevant articles. Please "copy and paste" or type in name of article/source. 4. Describe the application of your findings to your practice (Check all that apply and complete the statement): Reinforced my clinical decision to: Confirmed a diagnosis of: Reviewed the condition of: Applied new clinical guidelines to management of: Changed course of management (please complete #5 below) Unable to find clinical information that addressed my question Other (specify): 5. If the course of management and/or diagnosis was changed, how was it changed? (check all that apply) Choice of treatment/management Changes in pharmaceutical therapy Monitoring of therapy Referral for a consultation Changes in diagnostic tests Recommendations for preventative care Change in differential diagnosis 6. Define the difficulties in finding relevant information (check all that apply): Did not have difficulty finding relevant information Not enough full text journals available Difficulties in searching Insufficient database clinical information coverage Access difficulties EVALUATION 1. Rate the overall effectiveness of this activity. Excellent Good Average Fair Poor 2. Check all that apply: Activity met my objectives My search resulted in change in knowledge, competence, or performance Use of information acquired may result in improved patient care Comments: Would you like to receive emails from Genesys in the future? Yes No
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