Continuing Pharmacy Education Needs Assessment
Are you a pharmacist?
Yes
No
What is your current area of practice?
Academia/Higher Education
Ambulatory Care/Clinical-Based Practice
Community-based Pharmacy (Chain)
Community-based Pharmacy (Independent)
Government (Armed Services or Regulatory Agency)
Hospital Clinical Pharmacist
Hospital Staff Pharmacist
Industry
Long-term Care
Managed Care Pharmacy
Nuclear Pharmacy
Specialty Pharmacist Practice
Transitions-of-Care and/or Medication Therapy Management
Other
If "Other" was selected, please specify your current area of practice.
Do you hold any of the certifications listed below (select all that apply)
?
Board Certification
Collaborative Practice Certification
Consultant Pharmacist
Immunization Certification
Nuclear Pharmacist
Certified Diabetes Educator
Test and Treat Certification
If Board Certification selected, please confirm your specialty area (select all that apply)
?
Ambulatory Care Pharmacy
Cardiology Pharmacy
Compounded Sterile Preparations Pharmacy
Critical Care Pharmacy
Emergency Medicine Pharmacy
Geriatric Pharmacy
Infectious Diseases Pharmacy
Nuclear Pharmacy
Nutrition Suport Pharmacy
Oncology Pharmacy
Pediatric Pharmacy
Pharmacotherapy
Psychiatric Pharmacy
Solid Organ Transplantation Pharmacy
How many years have you been practicing pharmacy??
0-5 years
6-10 years
11-20 year
21-25
26-30
31+
What state do you
primarily
practice pharmacy?
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Preferred Educational Format
Live, in-person
Live, virtual webinar
Recorded Webinar or Video Lectures (on-demand)
Monograph (printed material)
Which do you prefer for
live
continuing pharmacy education programs?
In-person
Videoconference (Zoom, Teams, or other online streaming format)
What is your preferred activity length (hours)?
1
2-6
7-9
10-15
16-19
20+
What factors influence your participation and enrollment in continuing education programs? [select all that apply]
Convenience
Date and Time
Faculty
Fees
Location
Number of Credit Hours
Other (please specify)
Program Content
Sponsor
If "Other" was selected, please specify.
Areas of Interest
Which areas would you be most interested in for CE? [select all that apply]
Administrative Services
Aging/Geriatrics
Infectious Diseases
Medication Abuse
Mental Health
Patient Care Quality
Precision Medicine and Pharmacogenomics
Professional Developement
Select the
Disease States
you are most interested in learning about? [select all that apply]
Cardiovascular Diseases
Diabetes & Endocrinology
Gastroenterology
Oncology
Nephrology & Hypertension
Neurology
Pulmonary Disorders
Respiratory Diseases
Rheumatology
If
"Other" was selected, please provide feedback.
Contact Information