311125 attestation - 41st Annual Course: Advances in Arthroplasty

1. Attendance Verification - Final Page

Page1 / 1

100% of survey complete.

The AMA requires that the number of credits listed on CME certificates be based on the actual credit claimed by each physician. You will need to fill out the below questions in order to receive your CME certificate. Your certificate will be emailed to you 2-3 weeks after the survey is completed.

* Questions with an asterisk are required before evaluation can be submitted.

Question Title

* 1. YOUR NAME FOR CERTIFICATE: Please type your name how you would like it to appear on your certificate.
*THIS QUESTION REQUIRES AN ANSWER

Question Title

* 2. Your Degree
*THIS QUESTION REQUIRES AN ANSWER

Question Title

* 3. Your Email address for Certificate:
*THIS QUESTION REQUIRES AN ANSWER

Question Title

* 4. Did you attend the entire course?

Yes (If yes, scroll down to bottom of the page and submit your hours)

No (If no, please indicate which sessions you attended)

Question Title

* 5. Please indicate which sessions you attended

Question Title

* 6.
ACCREDITATION

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this live activity for a maximum of 33.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Full Course: A maximum of 33.75 AMA PRA Category 1 Credits™
Day One: A maximum of 8.5 AMA PRA Category 1 Credits™
How many credits will you be claiming?
*THIS QUESTION REQUIRES AN ANSWER

	Attended	Did Not Attend
Tuesday - morning session (2.25 CME hrs.)	Tuesday - morning session (2.25 CME hrs.) Attended	Tuesday - morning session (2.25 CME hrs.) Did Not Attend
Tuesday - morning session II (2.75 CME hrs.)	Tuesday - morning session II (2.75 CME hrs.) Attended	Tuesday - morning session II (2.75 CME hrs.) Did Not Attend
Tuesday - afternoon session (3 CME hrs.)	Tuesday - afternoon session (3 CME hrs.) Attended	Tuesday - afternoon session (3 CME hrs.) Did Not Attend
Tuesday - afternoon session II (1 CME hrs.)	Tuesday - afternoon session II (1 CME hrs.) Attended	Tuesday - afternoon session II (1 CME hrs.) Did Not Attend
Wednesday - morning session (3 CME hrs)	Wednesday - morning session (3 CME hrs) Attended	Wednesday - morning session (3 CME hrs) Did Not Attend
Wednesday - morning session II (1.75 CME hrs)	Wednesday - morning session II (1.75 CME hrs) Attended	Wednesday - morning session II (1.75 CME hrs) Did Not Attend
Wednesday - afternoon session (2.50 CME hrs.)	Wednesday - afternoon session (2.50 CME hrs.) Attended	Wednesday - afternoon session (2.50 CME hrs.) Did Not Attend
Wednesday - afternoon session II (1.50 CME hrs.)	Wednesday - afternoon session II (1.50 CME hrs.) Attended	Wednesday - afternoon session II (1.50 CME hrs.) Did Not Attend
Thursday - morning session (4 CME hrs)	Thursday - morning session (4 CME hrs) Attended	Thursday - morning session (4 CME hrs) Did Not Attend
Thursday - morning session II (1 CME hrs)	Thursday - morning session II (1 CME hrs) Attended	Thursday - morning session II (1 CME hrs) Did Not Attend
Thursday - afternoon session (2.25 CME hrs)	Thursday - afternoon session (2.25 CME hrs) Attended	Thursday - afternoon session (2.25 CME hrs) Did Not Attend
Thursday - afternoon session II(1.50 CME hrs)	Thursday - afternoon session II(1.50 CME hrs) Attended	Thursday - afternoon session II(1.50 CME hrs) Did Not Attend
Friday - morning session (3 CME hrs)	Friday - morning session (3 CME hrs) Attended	Friday - morning session (3 CME hrs) Did Not Attend
Friday - morning session II (1.75 CME hrs)	Friday - morning session II (1.75 CME hrs) Attended	Friday - morning session II (1.75 CME hrs) Did Not Attend
Friday - afternoon session (1.75 CME hrs)	Friday - afternoon session (1.75 CME hrs) Attended	Friday - afternoon session (1.75 CME hrs) Did Not Attend
Friday - afternoon session (.75 CME hrs)	Friday - afternoon session (.75 CME hrs) Attended	Friday - afternoon session (.75 CME hrs) Did Not Attend

Question Title

* 1. YOUR NAME FOR CERTIFICATE: Please type your name how you would like it to appear on your certificate.*THIS QUESTION REQUIRES AN ANSWER

Question Title

* 2. Your Degree*THIS QUESTION REQUIRES AN ANSWER

Question Title

* 3. Your Email address for Certificate:*THIS QUESTION REQUIRES AN ANSWER

Question Title

* 4. Did you attend the entire course?

Question Title

* 5. Please indicate which sessions you attended

Question Title

ACCREDITATION

* 1. YOUR NAME FOR CERTIFICATE: Please type your name how you would like it to appear on your certificate.
*THIS QUESTION REQUIRES AN ANSWER

* 2. Your Degree
*THIS QUESTION REQUIRES AN ANSWER

* 3. Your Email address for Certificate:
*THIS QUESTION REQUIRES AN ANSWER