Evaluation Form

Evaluation Form

68th Annual Detroit Trauma Symposium, November 4-6, 2020
To receive a CME certificate you must complete this form.
Name *

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

Yes No
ACS Membership ID (Credits will not post to your ACS MyCME webpage if ID not provided
Specialty
Number of Years in Practice
Please select what type of provider you are *

MD DO Non-MD/DO
AMA PRA Category 1 Credits™
The American College of Surgeons designates this live activity for a maximum of 10 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)      Review the use of whole blood transfusions, resuscitative thoracotomy and various options for pelvic fracture hemorrhages.

2)      Discuss newer modalities to train health care providers in individual/team training in trauma care. This includes both the civilian and military setting.

3)      Understand/utilize new innovations in trauma care, including stem cell therapy and the ongoing problems with venous thromboembolism.

4)    Discuss issues with the chronic problems with residual effects of TBI and gun violence.
Wednesday, November 4 - Session 1 - 1.75 credits
Wednesday, November 4 - Session 2 - 1.25 credits

Thursday, November 5 - Session 3 - 1.25 credits
Thursday, November 5 - Session 4 - 1.75 credits

Friday, November 6 - Session 5 - 2.50 credits
Friday, November 6 - Session 6 - 1.50 credits
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?

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5

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

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

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

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

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5

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

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

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

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

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1 is Strongly Disagree, 5 is Strongly Agree
Program was free of commercial bias

Yes No
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.