Thank you for your interest in planning an educational activity with GW's Office of Continuing Education in the Health Professions (CEHP). This form is designed to collect all information necessary to plan and develop the proposed CPE activity. Completion of all sections of this form is necessary to meet accreditation requirements.Please contact the CEHP office should you have any questions while completing this form. Activity Information Activity Title Educational Format Live Home Study Activities that contain both live and home study or mediated components Target Audience * Pharmacists Pharmacy Technicians Topic * Disease State Management/Drug therapy Aids therapy Law (related to pharmacy practice) General Pharmacy Patient Safety Immunizations Compounding Immunizations Compounding Gap Analysis Educational activities should be developed to address the educational needs that underline the professional practice gaps of their learners. Practice Gap – A practice gap is the difference between the current and desired practice. Professional Practice Gaps - 1 Current Practice What are pharmacists/and or pharmacy technicians doing (or not doing) that needs to change? * Best/Desired Practice What does optimal practice look like? * Performance Gap/Educational Need What is the reason for this gap? * Do you have additional practice gaps to add? * Yes No Leave this field blank