2025 Annual Meeting New Physicians Boot Camp Evaluation & Credit Claim
Please give us your input on the 2025 Annual Meeting and New Physicians Boot Camp education session. Credit claim is at the bottom of the form. You can add your name and number of credits claimed to the certificate provided. Your name and hours claimed will be recorded by the IAFP but will not be auto-populated on the certificate provided. Questions? Please contact Kate Valentine at kvalentine@iafp.com
Annual Meeting General Evaluation
How did you hear about the IAFP Annual Meeting?
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Direct email
Social media (Facebook, LinkedIn, Instagram, etc.)
From a colleague
From my institution or employer
Found it on your website
Illinois Family Physician Magazine
Other
What sessions or events did you attend at Annual Meeting? (select all that apply)
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Essential Evidence Education
New Physicians Boot Camp
Committee & Member Interest Group Meetings
Installation of the Board and President
IAFP Awards Ceremony
Visiting with Exhibitors
Fellow Convocation
New Physician Meet up
Other
What specific feedback would you like to share about the events you attended?
Did you have enough time to network with colleagues?
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A great deal
A lot
A moderate amount
A little
None at all
Other
On which day of the week would you prefer this meeting to take place?
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Thursday
Friday
Saturday
Which factor most influenced your decision to attend the Annual Meeting?
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Education Sessions
Committee Meetings
Conference Venue Location
Time of Year
Other
Would you recommend this meeting to a colleague?
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Always
Usually
Sometimes
Rarely
Never
Name one thing that would attract a member to attend the Annual Meeting?
What education topics would you like to see presented in the future?
General comments or suggestions about your experience with this meeting:
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New Physicians Boot Camp Evaluation
1. Were the Learning Objectives Met? The speaker communicated effectively and accomplished the outlined learning objectives.
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Completely Agree
Somewhat Agree
Neither Agree nor Disagree
Somewhat Disagree
Completely Disagree
2. This activity will lead to a change in my practice behavior and enhance my clinical skills.
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5 - Extremely Likely
4 - Very Likely
3 - Somewhat Likely
2 - Slightly Likely
1 - Not at All Likely
3. This activity will improve my effectiveness in managing and treating patients.
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5 - Extremely Likely
4 - Very Likely
3 - Somewhat Likely
2 - Slightly Likely
1 - Not at All Likely
4. This activity contributed to improvements in my patient management practices.
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5 - Completely Agree
4 - Somewhat Agree
3 - Neither Agree nor Disagree
2 - Somewhat Disagree
1 - Completely Disagree
5. How much has your KNOWLEDGE increased since participating in this CME activity?
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5 - Very much
4 - Quite a bit
3 - Moderately
2 - Slightly
1 - Not at all / No change
6. How much has your SKILL level increased since participating in this CME activity?
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5 - Very much
4 - Quite a bit
3 - Moderately
2 - Slightly
1 - Not at all / No change
7. Following this CME activity, how will you act to change your practice?
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Implement new information or skills into my practice
Seek additional information
Do nothing, as my practice reflects recommendations based on this activity
Do-nothing system barriers prevent me from making changes in my practice
8. What three actions will you take, or changes will you make because of this activity?
9. What barrier(s) exist within your practice that might prevent you from successfully making changes?
10. This CME activity included or reflected diversity (e.g. racial/ethnic, gender, sexual orientation or gender identity diversity)..
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Yes
No
Other
11. This activity was free from commercial bias or influence. If not, please use the comment box to provide detailed feedback
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Yes
No
Other
If bias was detected, what factor(s) do you believe contributed to it?
12. The presentations were fairly balanced and free of commercial bias
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5 - Completely Agree
4 - Somewhat Agree
3 - Neither Agree nor Disagree
2 - Somewhat Disagree
1 - Completely Disagree
13. I was properly informed about the speaker’s disclosure(s).
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5 - Completely Agree
4 - Somewhat Agree
3 - Neither Agree nor Disagree
2 - Somewhat Disagree
1 - Completely Disagree
Comments about CME activity:
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Credit Claim
Accreditation The Illinois Academy of Family Physicians (IAFP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. New Physician Bootcamp CMECredit Designation: Prescribed - The AAFP has reviewed 2025 Annual Meeting - New Physicians Boot Camp and deemed it acceptable for up to 2.75 Live AAFP Prescribed credit(s). Term of Approval is from 12/06/2025 to 12/06/2025. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
By checking the box below, I attest to participating in this CME course in its entirety and will claim the following :
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I have participated in this Course and I am claiming AAFP Prescribed credit.
I have participated in this Course and I am claiming a certificate of participation.
No CME credit required
Number of Credits you are claiming
*
Please Select
2.75
2.5
2.0
1.5
1.0
0.5
0.0
Name
*
First Name
Last Name
Credentials
AAFP Member #
Please select your profession? (Please select one from the list below)
*
Please Select
Physician
PA/NP
Nurse
Pharmacist
Other Health Professional
Other
What is your primary specialty? (Please select one from the list below)
*
Please Select
Family Medicine
Internal Medicine
Pediatrics
Obstetrics/Gynecology (OB/GYN)
Emergency Medicine
Primary Care (General Practice)
Other (please specify)
What is your age range? (Please select one)
*
Please Select
18–24
25–34
35–44
45–54
55–64
65 or older
Prefer not to answer
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
CME Certificate - The Illinois Academy of Family Physicians (IAFP) will report earned credits directly to the American Academy of Family Physicians (AAFP) if you have provided your AAFP member number. The certificate includes a designated space for your name, which must be entered manually. This certificate is intended solely for your personal recordkeeping. IAFP maintains comprehensive documentation of all learners, including names, addresses, and dates of completion. These records are securely stored for seven years and can be retrieved at any time for verification purposes.
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