Subspecialty Needs Assessment Survey
(using Renal as an example)
Please help us identify your needs relating to the value of Renal Grand Rounds in your
Continuing Medical Education. Please complete the form below and mail to __________
Format: Renal Grand Rounds is predominantly case-based interactive discussions
supplemented by 6-8 lecture type presentations by visiting faculty. Please rank your
degree of satisfaction with this format using the following 5-point scale:
□ 1. This is my preferred format and I would be happy if no changes were made
□ 2. I prefer this format; but, I would like more frequent formal lectures
□ 3. I do not have strong feelings about the format
□ 4. I prefer a format which is predominantly lecture based
□ 5. I prefer a format which is completely lecture based
Content: The general field of Nephrology is typically divided into a number of
categories. Please assess your degree of satisfaction with the coverage of these
categories over the course of a year of Renal Grand Rounds.
Not at all
Renal
transplantation
Pediatric
nephrology
Glomerular
disease
Acute renal
failure
ESRD
Peritoneal
dialysis
Electrolyte
disorders
Acid base
disorders
Mineral
metabolism
Interstitial
disease
Inherited renal
diseases
Pregnancy
related
disease
Hypertension
Completely
1
2
3
4
5
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
□
Other: Please list topics not covered above which you would like to see discussed
during the next year.
1. _____________________________________________
2. _____________________________________________
3. _____________________________________________
4. _____________________________________________