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3224062 - Attestation: A Systems Approach to Assessment in Health Science Education

2. Attendance Verification Form

The AMA requires that the number of credits listed on CME certificates be based on the actual credit claimed by each physician. Please complete the questions below 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.

Thank you.
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1.Your name for certificate:

* THIS QUESTION REQUIRES AN ANSWER

(Required.)
2.Highest Degree:

* THIS QUESTION REQUIRES AN ANSWER

(Required.)
3.Email for Certificate:

* THIS QUESTION REQUIRES AN ANSWER

(Required.)
4.Did you attend the entire course?(Required.)
5.Please indicate which sessions you attended
Attended
Did Not Attend
Saturday Morning Session (2.50 CME hrs)
Saturday Afternoon Session (4.50 CME hrs)
Sunday Morning Session (3.25 CME hrs)
Sunday Afternoon Session (3.75 CME hrs)
Monday Morning Session (3.25 CME hrs)
Monday Afternoon Session (3.75 CME hrs)
Tuesday Morning Session (3.25 CME hrs)
Tuesday Afternoon Session (3.75 CME hrs)
Wednesday Morning Session (4.25 CME hrs)
Wednesday Afternoon Session (2.75 CME hrs)
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 35.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

How many credits will you be claiming?

*THIS QUESTION REQUIRES AN ANSWER

(Required.)