PCSA 2024 Global CME Evaluation Form

PCSA 2024 Annual Meeting Evaluation

February 9-12, 2024 | Rancho Mirage, CA
You participated in the following educational activity held February 9-12, 2024:

"PCSA's 2024 Annual Meeting".

We would appreciate it if you would please respond to this evaluation by March 30, 2024. Thank you for your time.
Name

First NameLast Name
Email
example@example.com
Are you completing this form for a Certificate of Completion or CME Certificate? Please select one.
Are you a member of the American College of Surgeons?
This information is required if you are a member of the ACS. We cannot record CME data for ACS members without the required information noted below.
Of the AMA PRA Category 1 Credits™ listed above, a maximum of 0.75 hours meet the requirements for Ethics*

Of the AMA PRA Category 1 Credits™ listed above, a maximum of 0.75 hours meet the requirements for Vascular*

*Note: 15 minutes of session attendance = 0.25 AMA PRA Category 1 Credits™
As a participant of this educational activity, enter the number of hours completed:
Maximum: 13.25
As a participant of this educational activity, enter the number of hours of CME Credit you are claiming:
Maximum: 13.25
As a participant of this educational activity, enter the number of hours of Self-Assessment Credit you are claiming:
Maximum: 13.25
Total Number of Regulatory Mandate (Ethics)
Max .75
Total Number of Regulatory Mandate (Vascular)
Max .75
Date of Birth

MonthDayYear
Date
ACS Membership ID
American Board of Surgery ID
Other Certifying Board(s) Name You Belong To:
Other Certifying Board(s) ID:
State
State Medical License Number
Overall, how would you rate this educational activity?
Program topics and content met the stated objectives.
Content was relevant to my educational needs.
Educational format was conducive to learning.
This activity has improved my competence.
This activity will improve my performance.
This activity will improve patient outcomes.
This activity will improve processes of care and/or healthcare system performance.
Program was free of commercial bias.
If "No", please explain instance(s) of commercial bias:
How could this educational activity be 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.
Do you have any suggestions for future topics?
Additional comments
Should be Empty:

PCSA 2024 Annual Meeting Evaluation