The 8 PRACTICEs of Highly Successful Surgeons: Masters ClassWebinar #2Energy For Personal And Practice Wellness Question Title * 1. Please rate your overall satisfaction with the organization of this meeting Excellent Good Average Fair Poor Question Title * 2. Please enter the CME Master Codes Opening Master Code: Middle Master Code: Ending Master Code: Question Title * 3. The ACCME defines commercial bias as presentations giving an unbalanced view of therapeutic options by promoting a specific proprietary business interest or a commercial interest. Was this CME course free of commercial bias? Yes No If no, please explain Question Title * 4. Did the faculty disclose significant relationships with commercial support? Yes No Question Title * 5. How well were the course objectives met? Upon completion of the course, participants should be able to: Significantly Met Somewhat Met Not Met Create a wellness plan with short and long term goals Create a wellness plan with short and long term goals Significantly Met Create a wellness plan with short and long term goals Somewhat Met Create a wellness plan with short and long term goals Not Met Discuss the pathophysiology of negative energy and poor training and wellness strategies Discuss the pathophysiology of negative energy and poor training and wellness strategies Significantly Met Discuss the pathophysiology of negative energy and poor training and wellness strategies Somewhat Met Discuss the pathophysiology of negative energy and poor training and wellness strategies Not Met Implement a new wellness habit to replace an old habit using goal setting and accountability Implement a new wellness habit to replace an old habit using goal setting and accountability Significantly Met Implement a new wellness habit to replace an old habit using goal setting and accountability Somewhat Met Implement a new wellness habit to replace an old habit using goal setting and accountability Not Met Learn treatment strategies to create positive energy, sustainable physical, mental and emotional wellness, and successful surgical practices Learn treatment strategies to create positive energy, sustainable physical, mental and emotional wellness, and successful surgical practices Significantly Met Learn treatment strategies to create positive energy, sustainable physical, mental and emotional wellness, and successful surgical practices Somewhat Met Learn treatment strategies to create positive energy, sustainable physical, mental and emotional wellness, and successful surgical practices Not Met Question Title * 6. Did you meet your personal goal/objective for what you intended to get out of the course? Significantly Met Somewhat Met Not Met Question Title * 7. Please rate the relevance of this program to your scope of practice Very Relevant Relevant Somewhat Relevant Not Very Relevant Irrelevant Question Title * 8. Please rate the OVERALL EFFECTIVENESS of our speaker: Excellent Very Good Good Fair Poor Question Title * 9. How would you rate your success in each of these areas? (10 = Completely satisfied) 1 2 3 4 5 6 7 8 9 10 Physical Wellness - Diet Physical Wellness - Diet 1 Physical Wellness - Diet 2 Physical Wellness - Diet 3 Physical Wellness - Diet 4 Physical Wellness - Diet 5 Physical Wellness - Diet 6 Physical Wellness - Diet 7 Physical Wellness - Diet 8 Physical Wellness - Diet 9 Physical Wellness - Diet 10 Physical Wellness - Exercise Physical Wellness - Exercise 1 Physical Wellness - Exercise 2 Physical Wellness - Exercise 3 Physical Wellness - Exercise 4 Physical Wellness - Exercise 5 Physical Wellness - Exercise 6 Physical Wellness - Exercise 7 Physical Wellness - Exercise 8 Physical Wellness - Exercise 9 Physical Wellness - Exercise 10 Physical Wellness - Medical Care Physical Wellness - Medical Care 1 Physical Wellness - Medical Care 2 Physical Wellness - Medical Care 3 Physical Wellness - Medical Care 4 Physical Wellness - Medical Care 5 Physical Wellness - Medical Care 6 Physical Wellness - Medical Care 7 Physical Wellness - Medical Care 8 Physical Wellness - Medical Care 9 Physical Wellness - Medical Care 10 Mental Wellness Mental Wellness 1 Mental Wellness 2 Mental Wellness 3 Mental Wellness 4 Mental Wellness 5 Mental Wellness 6 Mental Wellness 7 Mental Wellness 8 Mental Wellness 9 Mental Wellness 10 Emotional Wellness Emotional Wellness 1 Emotional Wellness 2 Emotional Wellness 3 Emotional Wellness 4 Emotional Wellness 5 Emotional Wellness 6 Emotional Wellness 7 Emotional Wellness 8 Emotional Wellness 9 Emotional Wellness 10 Spiritual Wellness Spiritual Wellness 1 Spiritual Wellness 2 Spiritual Wellness 3 Spiritual Wellness 4 Spiritual Wellness 5 Spiritual Wellness 6 Spiritual Wellness 7 Spiritual Wellness 8 Spiritual Wellness 9 Spiritual Wellness 10 Practice Wellness Practice Wellness 1 Practice Wellness 2 Practice Wellness 3 Practice Wellness 4 Practice Wellness 5 Practice Wellness 6 Practice Wellness 7 Practice Wellness 8 Practice Wellness 9 Practice Wellness 10 Question Title * 10. What is your short-term goal and/or new wellness habit that you plan to implement? Question Title * 11. What is your long-term goal for wellness? Question Title * 12. What do you see as your BIGGEST challenge in implementing your new positive habit? What strategies could help to overcome this challenge? Question Title * 13. Are you intending to do an additional one-hour assignment to earn 1 additional CME credit? Yes No Need more information What is your additional assignment? Question Title * 14. How did you hear about this CME program?Please complete this if this is your first Masters Class Webinar survey. Question Title * 15. Please provide your contact informationPlease complete all lines if you are entering this information on an Masters Class survey for the first time.(Name and email required to issue CME.) Full Name * Degree:Surgical Subspecialty: State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Email Address * Phone Number Question Title * 16. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The Foundation for Orthopaedic Research and Education (FORE) and Jeffrey M. Smith, MD - Surgeon ConsultingFORE is accredited by the ACCME to sponsor CME for physicians. Foundation for Orthopaedic Research & Education designates this live internet activity for a maximum of (2 AMA PRA Category 1 Credits™). Physicians should claim only the credit commensurate with the extent of their participation in the activity. Please attest to the total number of credit hours (minimum .25 - maximum 2) that you spent or plan to spend in this CME activity. Question Title * 17. Did you have any technical issues with the AnyMeeting Webinar? Yes No If YES, please explain: Done