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Departmental Needs Assessment Survey

(using Medical Grand Rounds as an example)

Please help us identify your needs relating to the value of Medical Grand Rounds in your Continuing Medical Education. Please complete the form below and mail to __________

Format: Medical Grand Rounds typically consists of lecture type presentations by local and visiting faculty.  Please rank your degree of satisfaction with this format using the following 5-point scale:

1. This is my preferred format and I would be happy if no changes were made

2. I prefer this format; but, I would like more case based discussion

3. I do not have strong feelings about the format

4. I prefer a format which is predominantly case based discussion

5. I prefer a format which is completely case based discussion

Content: The general field of Medicine is typically divided into a number of categories. Please assess your degree of satisfaction with the coverage of these categories over the course of a year of Renal Grand Rounds.

Not at all

Completely

1

2

3

4

5

Primary Care

Women’s Health

Cardiology

Gastroenterology

Allergy/Immunology

Endocrinology

Hypertension

Nephrology

Infectious Disease

Pulmonary

Rheumatology

Preventive Medicine

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