Worksheet B | Accreditation Criteria
 
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Activity Representative
Who is going to be the main contact?
Activity Director
If different from activity representative.
Gap Analysis and Needs Assessment
In this section, you will walk through what the target audience needs to fill their practice gap. The end result will be a needs assessment that shows why this activity is needed. Please note that the examples included are only to help activity representatives understand better how to answer the prompts; the examples should not be viewed as legitimate recommendations.
Example: primary care clinicians often delay using ASD screening tools.
Example: Evidence shows that early ASD screening, diagnosis, and intervention reduces lifetime healthcare costs and promotes better management of ASD and comorbid conditions for patients and their families.
Example: Physicians are not using screening tools for ASD on patients as early as evidence suggests is best practice.
What is the underlying educational need(s) that applies to the target audience of this activity?
Example: Please explain in terms of knowledge, skills/strategies, and/or performance based on what you selected in the previous question. What specific knowledge, skills/strategies, and/or performance is the target audience lacking? (Maximum 150 words). Example: This gap is a result of a deficiency of provider knowledge and competence (skills/strategies) about what tools to use in screening, diagnosis, and intervention and how to use them.
In other words, how will this activity help address the educational need and bridge the gap between current practice and best practice. If this is an IPCE activity, explain in terms of the healthcare team. (Maximum 100 words). Example: This activity was designed to change the knowledge/competence of the healthcare team in the when and how of using ASD screening tools. Or, for individual learners: This activity was designed to change the knowledge/competence of primary care physicians in the when and how of using ASD screening tools.
Please share references to the sources of data that you mentioned in the previous section, such as sources that contributed to the following: 1) how you determined the current practice and 2) how you determined the best practice. You may additionally include sources that contributed to how you determined the gap(s) and educational need(s), if available. This bibliography does not need to be long; it just needs to support that the the gap analysis/needs assessment is objective, and there is genuine need for the education.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt html pdf doc docx ppt pptx xls xlsx xml.
Select the desirable attribute(s) of the healthcare team (i.e., competencies) that this activity addresses.
The list below includes the competencies of ACGME/ABMS, Institute of Medicine, and Interprofessional Education Collaborative, or you may enter other competencies recognized by your organization.
Active learning is an instructional method that engages students in the learning process. (Maximum 50 words)
In other words, did you include the perspective of each type of professional in your target audience in your planning process? Example: Your target audience is physicians, pharmacists, PAs, and NPs. Your planning committee should also include a physician, a pharmacist, a PA, and an NP. Alternatively, other methods may be used to offer the perspective of a professional in the target audience, such as the use of literature. (Maximum 50 words)
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Describe the barriers and how you will attempt to address these barriers in the educational activity.

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