1 2 Please select your RSS from the list. * - Select - Allergy Grand Rounds Anesthesiology Grand Rounds APP Grand Rounds Cardiovascular Medicine Grand Rounds Collaborative Genomics Conference Congenital Cardiac Case Review Conference Department of Medicine Grand Rounds Department of Surgery Grand Rounds Department of Surgery M&M Dermatology Grand Rounds Divine Savior Emergency Medicine Grand Rounds Emergency Medicine M&M Conference Gastroenterology and Hepatology Case Conf Gastroenterology and Hepatology Grand Rounds/Journal Club Genetics and Metabolism Case Conference Genetics and Metabolism Journal Club Geriatrics & Gerontology Grand Rounds GIM Care Collaboration Conference HIV Treaters Meeting Infectious Disease Case Conference Inteprofessional Equity and Diversity L&L Learning Together Madison VA Cardiology Conference Neurology Grand Rounds Nutrition Grand Rounds Ob-Gyn Grand Rounds Ob-Gyn Morbidity & Mortality Ophthalmology and Visual Sciences Grand Rounds Orthopedic Surgery Grand Rounds Pathology Grand Rounds Pediatric Congenital and Acquired Heart Disease Conference Pediatrics Grand Rounds Physical Medicine and Rehabilitation Grand Rounds Project ECHO for Pediatric Care Psychiatry Continuing Education at Park Street Clinic Psychiatry Continuing Education at WisPIC Schwartz Center Rounds Sleep Medicine Journal Club Sleep Medicine Multidisciplinary Conference State of the Art Speaker Series Surgical Indications and Continuity for Kids (SICK) Swedish American Pharmacist CE Transplant Grand Rounds Transplant Journal Club Urology Grand Rounds UW Health Breast Center Multi-disciplinary conference UW Sports Medicine Grand Rounds UWCCC Grand Rounds (UWCCC Riverview) Tumor Board Conference WI Opioid Project ECHO Wiley Seminar Series Wisconsin DOC Quarterly Healthcare Provider Meeting Identify your role in respect to the RSS you selected. * RSS Chair Member of RSS Planning Committee Which of the Activity Chair Responsibilities listed below do you perform in the current RSS Accreditation Cycle? * Select all that apply Review and comply with the Joint Accreditation Criteria and ACCME Standards for Commercial Support as directed by ICEP Assemble a planning committee that reflects the target audience of the educational activity Identify the professional practice gaps and educational need(s) of the target audience and obtain appropriate evidence to justify the need Complete the UW ICEP Planning Document Oversee the resolution of conflicts of interest and protection of Protected Health Information Secure faculty who represent your target audience and will address the learning objectives identified in the Planning Document, with the assistance of the planning committee Ensure activity content is based on evidence that is accepted within the profession of medicine and that all scientific research referred to, reported or used conforms to the generally accepted standards of experimental design, data collection and analysis Supervise and moderate activity sessions or designate personnel Monitor the educational quality of the instructional process to ensure learning by, for and with the health care team Lead the activity evaluation and summary process Conduct at least one meeting annually of the planning committee in order to review evaluation data and plan for future sessions. Other (Describe): Which of the Activity Chair Responsibilities listed below do you perform in the current RSS Accreditation Cycle? Other (Describe): Which of the Planning Committee Member Responsibilities listed below do you perform in the current RSS Accreditation Cycle? * Select all that apply Review and comply with Joint Accreditation Criteria and ACCME Standards for Commercial Support Determine roles for committee members with the activity chair Refine the Planning Document to assure linkages between educational needs, format, and outcomes Confirm that the content meets criteria for balance, objectivity, scientific rigor, and independence Identify faculty who represent your target audience and will address the learning objectives identified in the Planning Document Establish appropriate learning materials Contribute to the educational quality of the instructional process to ensure learning by, for and with the health care team Evaluate the activity and summary process Participate in at least one meeting annually of the planning committee in order to review evaluation data and plan for future sessions Other (Describe): Which of the Planning Committee Member Responsibilities listed below do you perform in the current RSS Accreditation Cycle? Other (Describe): Describe how you actively engage in the RSS Planning Committee. When is the next meeting of the Planning Committee for your RSS? If your RSS is designated as an interprofessional activity, which of these educational strategies does your Planning Committee use to ensure the needs of the target audience are addressed in the delivery of your RSS? Select all that apply Assemble and consult an interprofessional planning committee that resembles the target audience Invite speakers, authors, case presenters who resemble the target audience Ensure at least one of the learning objectives for each session addresses one or more interprofessional competencies (i.e., values and ethics, role and responsibilities, teams and teamwork, team-based communication) Communicate a philosophy of interprofessional education to presenters Encourage interaction among participants in order to facilitate collaborative learning Other (Specify): If your RSS is designated as an interprofessional activity, which of these educational strategies does your Planning Committee use to ensure the needs of the target audience are addressed in the delivery of your RSS? Other (Specify): How do you evaluate your RSS? * Select all that apply Evaluation survey of participants Posttest Chart review Quality data pulled from EHR Patient registry data Other (Specify): How do you evaluate your RSS? Other (Specify): You selected chart review. Please provide more information about this method. You selected quality data. Please provide more information about this method. You selected patient registry data. Please provide more information about this method. Provide an example of how you/your RSS Planning Committee have used evaluation data to plan RSS sessions? What is your profession? * Physician Advanced Practice Provider Registered Nurse Pharmacist Other (Specify) What is your profession? Other (Specify) Additional comments or questions. Thank you for responding to this survey! You may receive an invitation to a focus group to provide more feedback. Leave this field blank
