*are you: Male Female

1. What country do you live in?

2. What state do you live in?City?

3. What is your ethnical nationality? please check the appropriate category.

a. Asian American	f. Cuban	k. African
b. Native American	g. Central American	l. Australian
c. Black American	h. South American	m. Asian
d. White American	i. British	n. Middle East
e. Hispanic American	j. European	o. Other

4. what is your Occupation? (Select one)

a.Academic physician

b. Private practice Physician

c. Fellow

d. Resident

e. Other (Please specify)

5. What is your medical specialty?

In what area(s) are you board certified?

In what year did you graduate from medical school?

6. What type of practice best describes yours? (check one)

Solo

Group-single specialty

Multi-disciplinary Group

Other (please specify)

7. How many half days a week do you see patients? half days/week

8. Approximately how many hours of CME Category 1 credit do you complete each year?

9. What sources of CME do you use? (check all that apply)

a. Online CME

b. Attending formal CME programs

c. Grand Rounds

d. Consulting with peers

e. Listening to audiotapes

f. Reading journals and texts

g .Watching videotapes

h. Attending teleconferences via satellite transmission

10. Do you seek additional information for the following (rank...1, 2, 3, 4, )

a. Immediate Patient Care diagnosis (Emergency/Trauma situation)

b. Routine Patient Care diagnosis (Scheduled Appointment)

c. Consultation request

d. Personal education need

11. If you have a question concerning patient care, consult or personal educational need, how much time passes between the time you have a question and when you get an answer? (Rank by response rate....1,2,3,4)

12. What reference source do you use for informational needs in Emergency Patient Care, Scheduled Patient Care, Consultations and Personal Education? (rank the top 3...1,2,3)

13. What online CME reference source have you used for credit? (Indicate top 3)

a. MUSOM-Interactive patient

b. WWW site, specify by address

c. WWW site, specify by address

d. WWW site, specify by address

e. Other (Please specify)

f. None

14. How would you rate your level of computer experience? (Check One)

Beginner

Intermediate

Experienced

15. What type of computer system do you use most frequently for professional purposes?

Laptop

Desktop

Shared network

Other (specify)

16. How much time do you spend on your computer using online resources?
per day per week

17. Where do you have access to computer sources? (Check the 3 most useful)

Office

Outpatient Clinic

Hospital Clinical exam room

Hospital Emergency Room

Patient Room

Doctor's Lounge

Library

Conference Room

Auditorium

Home (online)

Other (specify)

18. What type CME reference resources would be most useful to you? (RANK top 3...1,2,3)

a. Hospital morbidity & mortality reports

b. Online CME

c. Consulting with peers

d. Formal CME programs

e. Audiotapes

f. Videotapes

g. Journals & Texts

h. Teleconference via satellite

19. What time during AM hours do you acces online reference resources? (Indicate top 3.....1,2,3)

20. What time during PM Hours do you acces online reference resources? (Indicate top 3.....1,2,3)

21. What Online CME programs or informational database have you used? (check all that apply)

a. CD ROM

b. Medline

c. RuralNet

d. MUSOM-Interactive Patient

e. World Health Organization

f. AMA

g. AAFP

h. ACP

i.OB/GYN

j. HSTN (Hospital Satellite tv)

k. Other (specify)

22. What are you using computer/on-line resources for? (RANK...1,2,3)

a. Patient care decisions

b. Consultations

c. Education

d. Other (explain)