2019 Georgia Vascular Society Evaluation Form


AMERICAN COLLEGE OF SURGEONS
DIVISION OF EDUCATION
CME JOINT PROVIDERSHIP PROGRAM


Georgia Vascular Society
7th Annual Scientific Meeting
September 6-8, 2019 | Greensboro, Georgia

 

 

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1.  
Overall, how would you rate this educational activity?
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2.  
Program topics and content met the stated objectives
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3.  
Content was relevant to my educational needs
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4.  
Educational format was conducive to learning
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5.  
This activity has improved my competence
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6.  
This activity will improve my performance
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7.  
This activity will enhance my communication skills
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8.  
This activity will improve patient outcomes
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9.  
This activity will improve processes of care and/or healthcare system performance
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10.  
Program was free from commercial bias
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11.  
Please explain any specific instance(s) of bias or conflict of interest:
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12.  
How could this educational activity been enhanced?
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13.  
List a minimum of two things you are going to change as a result of what you have learned:
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14.  
Describe the barriers anticipated when implementing the above changes:
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15.  
Do you have any suggestions for future topics?
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16.  
Additional Comments:
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How to obtain my CME credits

YOU MUST CHECK THE BOX BELOW IF YOU ARE A MEMBER OF THE AMERICAN COLLEGE OF SURGEONS. If you do not, credits will not post to your ACS MyCME webpage.
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17.  
Are you a member of the American College of Surgeons?
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18.  
Please provide ACS member number.
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19.  

As a participant at this educational activity, please indicate below the total number of hours* you attended sessions.  See hourly breakdown below. 

Saturday, September 7, 2019 CME  
Session I: 8:05 am - 9:20 am1.25  
Session II: 9:50 am - 10:40 am0.75  
Session III: 11:10 am - 12:00 pm0.75  
Session IV: 12:00 pm - 1:00 pm1.00  
Daily Total 3.75
    
Sunday, September 8, 2019 CME  
Session V: 8:05 am - 9:10 am.75  
Session VI: 9:10 am - 9:50 am.75  
Session VII: 10:50 am - 11:50 am1.00  
Daily Total  2.50  
    
Activity Total6.25  

 *15 minutes of session attendance = 0.25 AMA PRA Category 1 Credit™

ENTER YOUR TOTAL NUMBER OF HOURS ATTENDED:

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20.  
Full Name
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21.  
Email