Proactively Managing the Post-MI Patient in an Era of Virtual Care - Survey

ASCVD Start

Proactively Managing the Post-MI Patient in an Era of Virtual Care Post Program Questionnaire (Needs Assessment)

Have you participated in the proactively managing post-MI patient in an era of virtual care learning program

Yes No

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ARE YOU INTERESTED IN COMPLETING A NEEDS ASSESSMENT FOR FUTURE EDUCATION ON THE MANAGEMENT OF HIGH RISK ASCVD PATIENTS?

Yes No

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Instructions: Please take 5 minutes to complete the Proactively Managing the Post-MI Patient in an Era of Virtual Care post-program questionnaire.

Once you have answered all questions, click the submit button at the bottom of the page.

Should there be any errors or questions missed, the portal will alert you prior to being able to move on to the next section.

Please indicate if you are a:(*)

Primary care physician Specialist

Indicate specialty(*)

Please indicate number of years in practice(*)

Contact and payment details for stipend

Your Name(*)

Stipend payable to: (if different)

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Street Address(*)

City(*)

Province(*)

GST/HST Registration Number: (if applicable)

Contact Telephone Number(*)

Email Address(*)

Proactively Managing the Post-MI Patient in an Era of Virtual Care Post Program Questionnaire (Needs Assessment)

CLINICAL CASE

Contact and payment details for stipend