1. What clinical topics would you like to see included in professional education initiatives developed for NM health care providers to help their patients achieve healthier weights? (check all that apply)

screening for and documenting weight problems in adults and children
screening for weight-related co-morbidities
assessing for prescription drugs that may cause weight gain
assessing for depression
setting realistic weight goals
tailoring exercise recommendations
providing dietary advice
behavioral counseling for healthier weight
family-oriented approaches to improving physical activity and eating habits
prescription pharmaceutical agents for weight loss
bariatric surgery for morbid (Class III) obesity
identifying eating disorders and unhealthy weight control practices
other(s)-please specify: Other:

2. What office systems topics, tools and resources should be included?

BMI reference charts for adults;  BMI-for-age charts for children & adolescents
screening tools to assess physical activity and food intake
weight-related clinical record forms and flowcharts
bill coding and reimbursement issues
patient education materials
posters for exam and waiting rooms
info on utilizing external resources: commercial weight loss programs, gyms & health clubs, Overeaters Anonymous, web-based programs, etc.
establishing a healthful waiting room and office environment
roles for office staff in promoting healthier weight with patients
creating a worksite wellness plan for your office
other(s)-please specify: Other:

3. What additional information would you find useful?

clinical guidelines and evidence-base for screening, prevention and/or treatment of weight problems from medical professional societies and expert panels
NM-specific data regarding overweight, obesity and co-morbid conditions
NM-specific issues, i.e., disparities, estimated Medicaid expenditures related to obesity, food insecurity as a risk factor for weight problems, cultural issues, etc.
other(s)-please specify: Other:

4. What written format would you prefer for receiving or accessing the above types of information?

handbook
exam room reference guide
pocket reference guide
series of short fact sheets received over time
series of short fact sheets received all at one time
newsletters
other(s)-please specify: Other:
 

5. How do you prefer to receive or access written information?

printed "hard copies" distributed by mail, fax or at meetings
e-mail
website
CD-ROM
other(s)-please specify: Other:

6. Would the opportunity to earn free or low cost continuing education credits make you more likely to read the information?

Yes                 No

7. In what other ways would you like to receive professional education regarding promoting healthier weight with your patients?

Presentations at grand rounds, medical society meetings, or conferences
In-service presentation at your office or clinic site
Telephone conferences
Telemedicine
Webcasts
other(s)-please specify: Other:

8. What else should the CPI Healthier Weight workgroup be considering that hasn't already been addressed above?

I am a:   
MD/DO
PA
NP
RN
LPN
MA
other(s)-please specify: Other:

I work mainly in:

Family Practice
OB/GYN
Pediatrics (primary care)
Peds Specialty: 
Internal Medicine (primary care)     
Internal Med. Specialty: 
General Surgery
Surgical Specialty: 
Psychiatry/Mental Health
other(s)-please specify: Other:

Thank you for completing this survey!