MCACS Annual Meeting CME Evaluation Form

Evaluation Form

67th Annual Meeting of the Michigan Chapter of American College of Surgeons May 12-14, 2021
To receive a CME certificate you must complete this form by August 1.
Name*

First NameLast Name
Email*
example@example.com
YesNo
ACS Membership ID (Credits will not post to your ACS MyCME webpage if ID not provided
Specialty
Number of Years in Practice
MDDONon-MD/DO
AMA PRA Category 1 Credits™
The American College of Surgeons designates this live activity for a maximum of 11.75

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.
Learning Objectives:

At the conclusion of this activity, the learner should be able to:

1) Identify how the latest surgical developments and benchmarks can apply to their patients.

2) Identify how surgical ethics plays an integral role in their professional practice.

3) Share best practices to facilitate and improve practice-based learning and systems-based practice
Wednesday, May 12, 2021
Welcome & Resident Paper Competition I 1.00
23rd Annual "Mo" Henig Trauma Lecture 0.50
Education Lecture "Entrustment of Residents 0.50
Resident Paper Competition II 0.50
Stump the Attendings 0.50

Thursday, May 13, 2021
Welcome & Resident Paper Competition III 1.00
Advocacy Training & Success Stories 1.00
Ethics Lecture 1.00

Friday, May 14, 2021
Welcome & Resident Paper Competition IV 1.00
Surgical Resident Trivia 1.00
Closing Remarks & Awards 0.25

Enduring Material/On-Demand only
Vascular Presentation 0.50
Michigan MSQC Speaker: Prehabilitation 0.50
Quick Shots (15 at 3 min each) 0.75
ePosters (37) 1.75
As a participant of this educational activity, I am claiming the following number of hours of CME credit:*
*Note 15 minutes of session attendance = .25 AMA PRA Category 1 Credits
Overall how would you rate this educational activity?

1

2

3

4

5

1 is Poor, 5 is Excellent
Program topics and content met the stated objectives.

1

2

3

4

5

1 is Poor, 5 is Excellent
Content was relevant to my educational needs.

1

2

3

4

5

1 is Poor, 5 is Excellent
Educational format was conducive to learning.

1

2

3

4

5

1 is Poor, 5 is Excellent
This activity has improved my competence.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
This activity will improve my performance.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
This activity will enhance my communication skills.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
This activity will improve patient outcomes.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
This activity will improve process of care and/or healthcare system performance.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
YesNo
If no, please explain instances of commercial bias:
How could this educational activity be enhanced?
List a minimum of two things you are going to try as a result of what you have learned.1.
2.
Describe the barriers anticipated when implementing the above changes.
Do you have any suggestions for future topics?
Additional Comments
Should be Empty:

Evaluation Form

To receive a CME certificate you must complete this form by August 1.