Florida Chapter 2026 CME Claim Form

Florida Chapter’s 2026 Annual Meeting & Edward M. Copeland, III, MD, FACS Research Symposium - Evaluation Form

Thank you for attending! Below is a survey about the April 11-12 meeting in Orlando, in addition to the CME claim link! Please respond to this evaluation by June 12, 2026.
CONTINUING MEDICAL EDUCATION CREDIT INFORMATION

Accreditation

The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (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 12.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This program is designed for surgical residents, students, and attendings. Upon completion of this course they will have gained knowledge and understanding of the ever changing surgical field.

*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.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirements of the American Board of Surgery’s Continuous Certification program.
Name*

First NameLast NameSuffix
Email*
example@example.com
YesNo
ACS Membership ID - Credits will not post to your ACS MyCME webpage if your ID is not provided.*
YesNo
As a participant of this educational activity, enter the number of hours of CME credit you are claiming:*
A maximum of 12.5 hours can be claimed.
YesNo
ABS ID:*
Month and day of birth:*
YesNo
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Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree
Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree
Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree
Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree
Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree
Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree
Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree
Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree
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/sessions?
If you participated in the Innovation Lab, would you participate again? If Yes, what skill would you like to learn? If no, why not?
Please choose your preference for timing of the FCACS annual meeting:
Which location do you prefer?
Would you consider bringing your family to the meeting?
Do you have any additional comments? We'd love to hear from you.
Should be Empty:

Florida Chapter’s 2026 Annual Meeting & Edward M. Copeland, III, MD, FACS Research Symposium - Evaluation Form