Improving Medical Death Certification in Tennessee: Post-Test

Improving Medical Death Certification in Tennessee: Post-Test

You will receive your CME certificate within 30 days of completion.

How confident are you in your ability to perform these tasks?*

	Very Confident	Confident	Somewhat confident	Not at all confident	Not applicable to my position
Describing the death certification process in your jurisdiction
Identifying what qualifies as a disaster
Determining if a death is related to a disaster
Reporting a death that is related to a disaster

What is your level of knowledge on these topics*

	Very knowledgeable	Knowledgeable	Somewhat knowledgeable	Not at all knowledgeable	Not applicable to my position
Certifying death due to non-natural causes
Guidance for certification of deaths in the event of a natural, human-induced, or radiological/chemical disaster

How much do you agree with the following statements?*

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
I was satisfied with this training overall.
My understanding of death certificates and reporting has improved as a result of this training.
There were enough opportunities for questions and discussion.
The material was presented in an engaging way.
The information was presented in ways I could clearly understand.
The presenter(s) was knowledgeable about the subject matter.
I would recommend this training to colleagues.

To help assess educational needs, evaluate how we are meeting them, improve the CME program, and meet accreditation standards, please complete the following:
Did you receive commercial support and conflict of interest disclosure to learner slide prior to the presentation? *
Did the information provided seem biased or compromised by commercial support? If yes, please describe below. *
What areas of clinical strategies, performance in practice or practice processes/procedures/systems would you like to see addressed in future CME programs?
Additional comments:
Name*

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Date you completed the course*

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Email*
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If you are seeking CME: Tennessee Medical Association designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

I attest to the accuracy of the total hours listed below and request CME Credit for attendance.
TOTAL HOURS CREDIT CLAIMED (MAXIMUM 1.5)
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