EAST Annual Assembly CME Evaluation

36th EAST Annual Scientific Assembly: Attendee/ CME Evaluation

January 17-21, 2023 at Disney's Yacht & Beach Club Resort
Name*

First NameLast Name Credentials
Email*
example@example.com
ACS Membership ID (to receive ACS credits posted to MyCME webpage)
Number of years in practice:
Specialty:
AMA PRA Category 1 Credits™
The American College of Surgeons designates this enduring activity for a maximum of 17.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

*Note: 15 minutes of session attendance = 0.25 AMA PRA Category 1 Credits™

Learning Objectives:

Examine and implement injury prevention techniques which may lessen the burden of injury:

•Articulate methods to optimize outcomes for the trauma and EGS patients

•Interpret the presentation of scientific research in the treatment of the injured patient

•Evaluate and implement the organization and management of an institution’s trauma and EGS system of care

•Articulate methods to optimize outcomes and identify differences in management strategies for the geriatric patient population.

•Utilize adjuncts to massive blood resuscitation in order to increase the patient’s survivability
As a participant of this educational activity, I am claiming ____ hours of CME Credit.*
Max of 17.50
Of the AMA PRA Category 1 Credits™ listed above, a maximum of .50 hours meet the requirements for Patient Safety. As a participant of this educational activity, I am claiming ____ hours of Patient Safety CME Credit.
.50 Patient Safety Maximum
Of the AMA PRA Category 1 Credits™ listed above, a maximum of .25 hours meet the requirements for New Medical Technology. As a participant of this educational activity, I am claiming ____ hours of New Medical Technology CME Credit.
.25 New Medical Technology Maximum
Of the AMA PRA Category 1 Credits™ listed above, a maximum of 5.75 hours meet the requirements for Trauma. As a participant of this educational activity, I am claiming ____ hours of Trauma CME Credit.
5.75 Trauma Maximum
Overall, how would you rate this educational activity?*

ExcellentVery GoodGoodFairPoor
Program topics and content met the stated objectives.*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Content was relevant to my educational needs.*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
The educational format was conducive to learning.*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
This activity has improved my competence.*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
This activity will improve my performance.*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
This activity will enhance my communication skills.*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
This activity will improve patient outcomes.*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
This activity will improve processes of care and/or healthcare system performance.*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
This Session was free of commercial bias.*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Please explain any specific instance(s) of bias or conflict of interest:*
How could this educational activity have been enhanced?*
List a minimum of two things you are going to change as a result of what you have learned.*
Describe the barriers anticipated when implementing the above changes.*
Additional Program Comments
Please take a moment to provide feedback on the following:

Disney's Yacht & Beach Club Resort:

Rows	Excellent	Good	Fair	Poor	N/A
Hotel Services
Food Service
Accommodations

Registration:

Rows	Excellent	Good	Fair	Poor	N/A
Pre-Registration
Onsite Registration

Social Events:

Rows	Excellent	Good	Fair	Poor	N/A
Opening Reception
Friday Award Luncheon

Staff:

Rows	Excellent	Good	Fair	Poor	N/A
EAST staffing

Exhibits:

Rows	Excellent	Good	Fair	Poor	N/A
Exhibits

Meeting Comments
Should be Empty:

36th EAST Annual Scientific Assembly: Attendee/ CME Evaluation