CME Credit Form
Please fill out this survey to claim your CME credit
Are you claiming CME credit?
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I would like to claim CME Credit
I do not wish to claim CME Credit but will fill out the postmeeting survey
I do not wish to claim CME Credit and prefer not to fill out the survey
Name
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First Name
Last Name
Email
*
example@example.com
Please complete the following questions to help us plan for future years:
The meeting content was relevant to my professional practice.
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5- highly agree
4- agree
3- neutral
2- disagree
1- highly disagree
The learning objectives were clearly met. (Objectives: Apply evidence-based and inclusive leadership frameworks to strengthen confidence, voice, and influence across professional and community contexts. Develop strategies to advance equity and belonging by identifying and addressing systemic barriers to leadership and well-being. Discuss challenges facing women physicians in the medical profession and identify strategies for change. Promote the health of women through a better recognition of clinical conditions, therapeutic advances, and a holistic approach to care.)
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5- highly agree
4- agree
3- neutral
2- disagree
1- highly disagree
The information presented was evidence-based and current.
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5- highly agree
4- agree
3- neutral
2- disagree
1- highly disagree
I gained strategies that I can apply in my professional work.
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5- highly agree
4- agree
3- neutral
2- disagree
1- highly disagree
The meeting content will help me improve my interprofessional collaborations.
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5- highly agree
4- agree
3- neutral
2- disagree
1- highly disagree
What topics would you suggest be included for next year? Check all that are relevant.
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Leadership
Burnout / Wellbeing
Gender Equity
Women's Health
Advocacy
Other
If you selected other, please list here:
What changes will you make as a result of attending this conference?
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Please select the correct statement
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I attended all of the Friday and Saturday plenary sessions and an available breakout session for each of those days
I DID NOT attend all of the Friday and Saturday plenary sessions and an available breakout session for each of those days
If you did not attend all available sessions, please indicate which times you did not attend so that the full CME credit can be adjusted.
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