DC Chapter Spring Meeting - CME Evaluation Form

DC Chapter Spring Meeting - Evaluation Form

Washington DC, May 17, 2025
We would appreciate it if you would please respond to this evaluation by July 18, 2025. Thank you for your time.
CONTINUING MEDICAL EDUCATION CREDIT INFORMATION

Accreditation

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the American College of Surgeons. The American College of Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™
The American College of Surgeons designates this live activity for a maximum of 7.75 AMA PRA Category 1 Credits™.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

*The content of this activity may meet certain mandates of regulatory bodies. Please note that ACS has not and does not verify the content for such mandates with any regulatory body. Individual physicians are responsible for verifying the content satisfies such requirements.
As a participant of this educational activity, enter the number of hours of CME Credit you are claiming:
Maximum: 7.75
Name*

First NameLast Name
Email*
example@example.com
Are you a member of the American College of Surgeons?*

YesNo
ACS Membership ID (required) - Credits will not post to your ACS MyCME webpage if ID not provided*
Are you a Diplomate of the American Board of Surgery?*

YesNo
Name*

First NameLast Name
Month and day of birth*
ex. January 16
I give my permission to share this information with the ACCME and the ABS*

YesNo
ABS ID:*
Overall, how would you rate this educational activity?

5-Excellent4-Very Good3-Good2-Fair1-Poor
Program topics and content met the stated objectives.

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Content was relevant to my educational needs.

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
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
Program was free of commercial bias.

YesNo
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:

DC Chapter Spring Meeting - Evaluation Form