Thank you for attending the PCSA's 89th Annual Meeting February 16-19, 2018 in Napa, CA.

Please take a moment to complete this online version in order to receive your CME.

The deadline to complete and submit this evaluation form in order to receive your CME credit, is March 30, 2018.

AMA PRA Category 1 Credits™
The American College of Surgeons designates this live activity for a maximum of ­14.50 AMA PRA Category 1 Credits™.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Of the AMA PRA Category 1 Credits™ listed above, a maximum of 10.25 credits meet the requirements for Self-Assessment.

* First Name

* Last Name

* Email Address

* Are you an ACS Member?

* If you answered yes, please provide your ACS Member number. Providing us with your ACS member number will ensure proper credit is posted faster and to the correct page.

If you answered no, please put N/A.

* As a participant at this educational activity, I attended ________ (please fill in the box below) hours* of sessions.
*1 hour = 1 AMA PRA Category 1 Credit™

* Overall, how would you rate this educational activity?

* Program topics and content met the stated objectives

* Content was relevant to my educational needs

* Educational format was conducive to learning

* Acquired knowledge will be applied in my practice environment

* I will seek additional information on this subject

* Program was fair, objective, and unbiased toward any product or program

* Please explain any specific instance(s) of bias or conflict of interest:

* List a minimum of two things you are going to change in your practice as a result of what you have learned at this activity.

* Describe the barriers anticipated when implementing the above changes:

* Do you have any suggestions for future topics to support and/or expand on what you have learned at this activity?

* Additional Comments