WSPS 2019 Annual Meeting Evaluation

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* 1. Please rate the following Saturday, June 15 presentations:

	Unsatisfactory				Exemplary
Skiing Denali Sam Lien, MD	Skiing Denali Sam Lien, MD Unsatisfactory	Skiing Denali Sam Lien, MD	Skiing Denali Sam Lien, MD	Skiing Denali Sam Lien, MD	Skiing Denali Sam Lien, MD Exemplary
Lymphedema Janelle Sousa, MD	Lymphedema Janelle Sousa, MD Unsatisfactory	Lymphedema Janelle Sousa, MD	Lymphedema Janelle Sousa, MD	Lymphedema Janelle Sousa, MD	Lymphedema Janelle Sousa, MD Exemplary
Paths Not Taken and Events That Shaped A 48-Year Career Wally Chang	Paths Not Taken and Events That Shaped A 48-Year Career Wally Chang Unsatisfactory	Paths Not Taken and Events That Shaped A 48-Year Career Wally Chang	Paths Not Taken and Events That Shaped A 48-Year Career Wally Chang	Paths Not Taken and Events That Shaped A 48-Year Career Wally Chang	Paths Not Taken and Events That Shaped A 48-Year Career Wally Chang Exemplary
Affirming Care: Transgender Care at an Academic Institution Jens Berli, MD	Affirming Care: Transgender Care at an Academic Institution Jens Berli, MD Unsatisfactory	Affirming Care: Transgender Care at an Academic Institution Jens Berli, MD	Affirming Care: Transgender Care at an Academic Institution Jens Berli, MD	Affirming Care: Transgender Care at an Academic Institution Jens Berli, MD	Affirming Care: Transgender Care at an Academic Institution Jens Berli, MD Exemplary
Prospective Quality of Life Outcomes after Facial Minimization Surgery Shane Morrison, MD	Prospective Quality of Life Outcomes after Facial Minimization Surgery Shane Morrison, MD Unsatisfactory	Prospective Quality of Life Outcomes after Facial Minimization Surgery Shane Morrison, MD	Prospective Quality of Life Outcomes after Facial Minimization Surgery Shane Morrison, MD	Prospective Quality of Life Outcomes after Facial Minimization Surgery Shane Morrison, MD	Prospective Quality of Life Outcomes after Facial Minimization Surgery Shane Morrison, MD Exemplary

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* 2. Please rate the following Sunday, June 16 2019 presentations:

	Unsatisfactory				Exemplary
WSPS Activity Update Shannon Colohan, MD	WSPS Activity Update Shannon Colohan, MD Unsatisfactory	WSPS Activity Update Shannon Colohan, MD	WSPS Activity Update Shannon Colohan, MD	WSPS Activity Update Shannon Colohan, MD	WSPS Activity Update Shannon Colohan, MD Exemplary
Limb Salvage in War Wounded Patients Mike Neumeister, MD	Limb Salvage in War Wounded Patients Mike Neumeister, MD Unsatisfactory	Limb Salvage in War Wounded Patients Mike Neumeister, MD	Limb Salvage in War Wounded Patients Mike Neumeister, MD	Limb Salvage in War Wounded Patients Mike Neumeister, MD	Limb Salvage in War Wounded Patients Mike Neumeister, MD Exemplary
Phalloplasty: Safety Staging and Outcomes Jens Berli, MD	Phalloplasty: Safety Staging and Outcomes Jens Berli, MD Unsatisfactory	Phalloplasty: Safety Staging and Outcomes Jens Berli, MD	Phalloplasty: Safety Staging and Outcomes Jens Berli, MD	Phalloplasty: Safety Staging and Outcomes Jens Berli, MD	Phalloplasty: Safety Staging and Outcomes Jens Berli, MD Exemplary
Uterine Transplantation Daniel Cho, MD, PhD	Uterine Transplantation Daniel Cho, MD, PhD Unsatisfactory	Uterine Transplantation Daniel Cho, MD, PhD	Uterine Transplantation Daniel Cho, MD, PhD	Uterine Transplantation Daniel Cho, MD, PhD	Uterine Transplantation Daniel Cho, MD, PhD Exemplary
Sagittal Synostosis Ben Massneburg, MD	Sagittal Synostosis Ben Massneburg, MD Unsatisfactory	Sagittal Synostosis Ben Massneburg, MD	Sagittal Synostosis Ben Massneburg, MD	Sagittal Synostosis Ben Massneburg, MD	Sagittal Synostosis Ben Massneburg, MD Exemplary

Question Title

* 3. After attending the session, please rate your ability to meet the following objectives:

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Give a more accurate and clear outline for outcomes of different gender transformation surgeries.	Give a more accurate and clear outline for outcomes of different gender transformation surgeries. Strongly Disagree	Give a more accurate and clear outline for outcomes of different gender transformation surgeries. Disagree	Give a more accurate and clear outline for outcomes of different gender transformation surgeries. Neutral	Give a more accurate and clear outline for outcomes of different gender transformation surgeries. Agree	Give a more accurate and clear outline for outcomes of different gender transformation surgeries. Strongly Agree
Be familiarized with the following terms and their implications to provision of affirming care: gender identity, sex assigned at birth, gender expression, gender dysphoria, transgender, gender non-conforming/non-binary.	Be familiarized with the following terms and their implications to provision of affirming care: gender identity, sex assigned at birth, gender expression, gender dysphoria, transgender, gender non-conforming/non-binary. Strongly Disagree	Be familiarized with the following terms and their implications to provision of affirming care: gender identity, sex assigned at birth, gender expression, gender dysphoria, transgender, gender non-conforming/non-binary. Disagree	Be familiarized with the following terms and their implications to provision of affirming care: gender identity, sex assigned at birth, gender expression, gender dysphoria, transgender, gender non-conforming/non-binary. Neutral	Be familiarized with the following terms and their implications to provision of affirming care: gender identity, sex assigned at birth, gender expression, gender dysphoria, transgender, gender non-conforming/non-binary. Agree	Be familiarized with the following terms and their implications to provision of affirming care: gender identity, sex assigned at birth, gender expression, gender dysphoria, transgender, gender non-conforming/non-binary. Strongly Agree
Understand and outline options for phalloplasty for patients.	Understand and outline options for phalloplasty for patients. Strongly Disagree	Understand and outline options for phalloplasty for patients. Disagree	Understand and outline options for phalloplasty for patients. Neutral	Understand and outline options for phalloplasty for patients. Agree	Understand and outline options for phalloplasty for patients. Strongly Agree
Explain the benefits of a single stage vs staged phalloplasty and better evaluate which option is best for patient.	Explain the benefits of a single stage vs staged phalloplasty and better evaluate which option is best for patient. Strongly Disagree	Explain the benefits of a single stage vs staged phalloplasty and better evaluate which option is best for patient. Disagree	Explain the benefits of a single stage vs staged phalloplasty and better evaluate which option is best for patient. Neutral	Explain the benefits of a single stage vs staged phalloplasty and better evaluate which option is best for patient. Agree	Explain the benefits of a single stage vs staged phalloplasty and better evaluate which option is best for patient. Strongly Agree
Outline alternative options for phalloplasty including options for non-standard requests.	Outline alternative options for phalloplasty including options for non-standard requests. Strongly Disagree	Outline alternative options for phalloplasty including options for non-standard requests. Disagree	Outline alternative options for phalloplasty including options for non-standard requests. Neutral	Outline alternative options for phalloplasty including options for non-standard requests. Agree	Outline alternative options for phalloplasty including options for non-standard requests. Strongly Agree
Understand the interdependence of complications and implement strategies to minimize them.	Understand the interdependence of complications and implement strategies to minimize them. Strongly Disagree	Understand the interdependence of complications and implement strategies to minimize them. Disagree	Understand the interdependence of complications and implement strategies to minimize them. Neutral	Understand the interdependence of complications and implement strategies to minimize them. Agree	Understand the interdependence of complications and implement strategies to minimize them. Strongly Agree

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* 4. Next year, what would you like to hear more of?

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* 5. Next year, what would you like to hear less of?

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* 6. A "commercial interest" is defined as any entity producing, marketing, re-selling or distributing health care goods or services consumed by, or used on, patients. Among the exemptions to this definition are government organizations, non-health care related companies and non-profit organizations that do not advocate for commercial interests. Did you perceive any bias toward a "commercial interest" in this activity?

Yes

If yes, please explain:

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* 7. Will you make changes to your practice after attending these sessions?

Yes

Please Specify

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* 8. What barriers do you face in implementing what you learned at the activity?

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* 9. Please rate the quality of Rosario Resort on a scale of 1 to 5, with 1 being the lowest/worst rating and 5 being the highest/best.

	1	2	3	4	5
Location	Location 1	Location 2	Location 3	Location 4	Location 5
Quality and Availability of Rooms	Quality and Availability of Rooms 1	Quality and Availability of Rooms 2	Quality and Availability of Rooms 3	Quality and Availability of Rooms 4	Quality and Availability of Rooms 5
Food at Rosario	Food at Rosario 1	Food at Rosario 2	Food at Rosario 3	Food at Rosario 4	Food at Rosario 5
Temperatures of the Room	Temperatures of the Room 1	Temperatures of the Room 2	Temperatures of the Room 3	Temperatures of the Room 4	Temperatures of the Room 5
AV - Sound and Power Point	AV - Sound and Power Point 1	AV - Sound and Power Point 2	AV - Sound and Power Point 3	AV - Sound and Power Point 4	AV - Sound and Power Point 5

If you have suggestions for future locations, please include them here.

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* 10. TO claim CME credit, please provide your contact information below.

Name

Credentials

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Company

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* 11. The grid below shows the number of credits available for each agenda item. Please tally the number of credits you are claiming, and enter the amount in the box below.

Transgender Care at an Academic Institution - Jens Berli, MD - 1 credit

Transgender Care at an Academic Institution Q&A - Jens Berli, MD - 0.25 credits

Phalloplasty: Safety, Staging and Outcomes - Jens Berli, MD - 1 credit

Phalloplasty: Safety, Staging and Outcomes- Jens Berli,MD - 0.25 Credits

Prospective Quality of Life Outcomes after Facial Feminization Surgery, Shane Morrison - 0.5 credits

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* 12. Physicians: The number of credits claimed equals the number of AMA PRA Category 1 Credits™ awarded, with one hour of participation equaling one AMA PRA Category 1 Credit™. Physicians should claim credit in 15 minute (i.e. 0.25 credit) increments.This live activity was designated for 1 AMA PRA Category 1 Credits™.

All other attendees: Please complete this form so that we may verify your participation in this activity, which was designated for 1 AMA PRA Category 1 Credits™.

Attestation & Credits Claimed

I attest that I attended CME sessions at the 2019 WSPS Annual Meeting on June 15-16, 2019

Number of credits claimed (up to 3):