2025 CTACSPA Meeting Evaluation Form

Connecticut Chapter of the American College
of Surgeons Professional Association

2025 Annual and Scientific Meeting
Friday - 17 October - 2025 - Trumbull, CT

Please complete this form and click submit at the bottom to receive your CME Certificate. This site will close on 11 November 2025.

Meeting Learning Objectives:

At the conclusion of this activity:

Expand learner’s knowledge of Artifical Intelligence in surgery
Acquire skills that can be implemented in learner’s own surgical practice
Demonstrate an understanding of the importance of patient-centered decision making by ensuring all surgical decisions prioritize patient welfare and incorporate their goals and expectations
Recognize the essential role of teaching and mentorship in surgical practice, and apply strategies for effective knowledge transfer and guidance to surgical trainees.
Acquire skills necessary to successfully advance from residency into practice.
Participants will be able to evaluate and implement advancements in surgical procedures and technologies, balancing innovation with established best practices to improve patient care.
Building belonging in surgery

Name*

Are you a member of the ACS?*

YesNo

ACS Membership ID #*

Credits will not post to your ACS Trascript in MyCME without your ID

Number of Years in Practice

Email Address for CME certificate*

Confirmation Emailexample@example.com

State(s) in which you are licensed*

As a participant, I am claiming this many CME hours*

*Note: 15 minutes of session attendance = 0.25 AMA PRA Category 1 Credits™. This meeting is eligible for a maximum of 7 hours.

Please check the appropriate box*

Rows	5 Excellent	4 Very Good	3 Good	2 Fair	1 Poor
1. Overall, how would you rate this educational activity?

Rows	5 Strongly Agree	4 Agree	3 Neutral	2 Disagree	1 Strongly Disagree
2. Program topics and content met the stated objectives.
3. Content was relevant to my educational needs.
4. Educational format was conducive to learning.
5. This activity has improved my competence.
6. This activity will improve my performance.
7. This activity will enhance my communication skills.
8. This activity will improve patient outcomes.
9. This activity will improve processes of care and/or healthcare system performance.

Rows	Yes	No
10. Program was free of commercial bias.

If no, please explain instances of commercial bias:*

11. How could this educational activity be enhanced?*

12. List a minimum of two things you are going to change as a result of what you have learned.*

13. Describe the barriers anticipated when implementing the above changes. *

14. Do you have any suggestions for future topics?

15. Additional Comments