To receive credit, you must complete and submit the program evaluation below. If you are a member of the AAFP, the NCAFP will file your CME Credits earned on your behalf. Non-members should use the Certificate of Attendance to self-report your credits to your accrediting body.

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* 1. First Name

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* 2. Last Name

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* 3. Designation (MD, DO, PA, other)

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* 4. Are you a member of the American Academy of Family Physicians / NC Academy of Family Physicians?

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* 5. Please provide your AAFP ID Number
(The NCAFP will file credits earned by your participation in tonight's program for AAFP Members. Non-AAFP Members - please leave this field blank.)

Please evaluate SHOULDER ISSUES FOR THE PRIMARY CARE PROVIDER by answering each of the survey questions below. 

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* 6. BURROUGHS || Were the course learning objectives met for this lecture?

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* 7. BURROUGHS || Was the speaker engaging in their delivery?

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* 8. BURROUGHS || Did the speaker include the right level of detail for your knowledge level?

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* 9. BURROUGHS || What is your overall rating for this speaker?

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* 10. BURROUGHS || After attending this session, how confident are you that you will be able to apply what you have learned from this session to your practice?

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* 11. BURROUGHS || As a result of what you have learned during this session, will you change your practice behaviors?

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* 12. BURROUGHS || If you selected yes above, what changes will you make?

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* 13. BURROUGHS || Was this presentation commercially biased in any manner?

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* 14. BURROUGHS || If you indicated yes to the bias question above, please explain.

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* 15. BURROUGHS || What information would you have liked to have seen covered or what questions do you have that were not answered during this lecture?

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