23 CME Evaluation Form Colorectal Friday

Please complete the following form and submit once you have completed your participation in the session.

International College of Surgeons - United States Section
Annual Surgical Update - 
San Antonio, TX - Hilton Palacio Del Rio


Friday, 5/5/2023 - 8AM to 10:15AM
Colorectal Emergencies

To expedite the distribution of your continuing medical education credits, please answer all required questions and be sure to digitally sign this form by entering today's date at the bottom.

Continuing Medical Education Transcripts will be distributed no later than 6 weeks after the conference, but only after you have submitted the post meeting survey.  Only paid registrants will receive CME credit. Invited non-member speakers are eligible to receive CME credit for the session in which they are speaking without payment of registration fees.

Only rate speakers you have observed.

Enter your full name as you wish it to appear on your transcript *
Enter your email address where transcripts should be sent *

PART 1 - PRESENTATION RATING

Rate the moderators and each presenter/presentation in the session by clicking the appropriate button. Also, towards the end of the form, indicate whether or not you detected commercial bias in any of the presentations. If commercial bias is present, please explain in detail in the space provided. Please note that referring to a specific product or manufacturer does not in and of itself determine commercial bias. Commercial bias is defined as an attempt by the presenter to promote a specific product or manufacturer without indication that other options may be available. Simply having a relationship is also not in and of itself bias. If no explanation is provided, we will not be able to investigate your identification of bias.

Moderators: Robert Amajoyi, MD & Harry Anderson, MD

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Obstructed Colorectal Cancer Nightmares from the ER
Philip Kondylis, MD


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Stoma and Stoma Complications: How to create the perfect stoma
John Kidwell, MD


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Lower GI Hemorrhage
Irlna Tantchou, MD


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Rectal Prolapse: Help! My rectum is falling out.
Nsikak Umoh, MD


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Current Management of Complicated Sigmoid Colon Diverticulitis
Izi Obokhare, MD


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Was there commercial bias in any of these presentations?
*

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Explain commercial bias concerns or provide any other appropriate comments for this session. Please identify specific speaker(s) and provide detailed information.

PART 2 – EDUCATIONAL VALUE

Rate the overall educational value of the sessions you attended by checking the appropriate box indicating: 

The session I attended achieved its stated objectives.
*

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I learned something new that was important.
*

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I verified some important information.
*

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The information presented is likely to have an impact on my practice. *

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I plan to discuss this information with colleagues. *

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In terms of meeting the stated objectives, this activity was: *

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What changes, if any, do you plan to make in your practice as a result of attending this program?
(Do not leave blank) *

PART 3 – STATEMENT OF COMPLETION

Please indicate your hours of attendance in the field below.

You should ONLY include the number of hours you were ACTUALLY in the session.

Maximum credits for this session is 2.25  if observing all speakers in the session. No credit for breaks or time not in the session.

Examples:

     If you were in the session from 8am to 10am enter 2 hours even if session was being conducted from 8am to 12pm.
    Average presentation length is 15 minutes per speaker. If you observed 3 speakers you should only enter 0.75 hours. 

Remember to date this form as your digital signature and attestation that the information provided is true and accurate.

Enter number of hours you participated in the session.
*
Enter today's date. *



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