For more information, contact:

Jessica C. Wells, MS -
Vice President, Medical Education
Phone: 615-222-6995
Fax: 615-222-6464
Email: jessica.wells@baptisthospital.com

Beverly Upchurch - CME Coordinator
Phone: 615-222-4065
Fax: 615-222-6464
Email: bupch@stthomas.org

Tristin Casteel - CME Coordinator
Phone: 615-222-4059
Fax: 615-222-6464
Email: tristin.casteel@stthomas.org

Lauren Johnson - CME Coordinator
Phone: 615-222-4127
Fax: 615-222-6464
E-mail: lauren.johnson@stthomas.org

Alexis Tait - Office Supervisor
Phone: 615-222-2007
Fax: 615-222-6464
E-mail: alexis.tait@stthomas.org

Name of CME Activity:
Date of Activity:
Name of Discloser:
I am a/an:
  • instructor
  • planner
  • manager
In order to comply with the ACCMEs Criterion 2 and 3, all activities must identify the gap between the participant’s current practice and the best practice or achievable practice. Please assist us in determining the educational gaps for your presentation by completing the table below.
Example
Current Practice
1a) current practice: Physicians reported that they had difficulty delivering a diagnosis of dementia to patients and family members.
Best Practice
1a) best practice: Patient and family understand and accept diagnosis of Alzheimer’s Disease 1b) source/location of best practice: ABMC MOC communication with patients and caregivers (AAFP) Guidelines for Managing Alzheimer’s Disease, 2002 www.aafp.org/afp/20020615/2525.pdf 1c) key points: Summary of diagnostic criteria in language that patient and family will understand
Resulting Gap
Physicians are unable to summarize the diagnostic criteria in language that the patient and family will understand.
Please provide examples of content that will be considered for this activity
Current Practice (i.e. what is currently happening)
1a) current practice:
1b) source/location of current practice:
1c) key points:
2a) current practice:
2b) source/location of current practice:
2c) key points:
Best Practice (i.e. what should be happening based on best available evidence)
1a) best practice:
1b) source/location of best practice:
1c) key points:
2a) best practice:
2b) source/location of best practice:
2c) key points:
Resulting Gap (i.e. Learner needs – what do you think they may not currently know or use regarding your topic that you plan to cover)
1.
Underlying Need:
2.
Underlying Need:
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