Program Evaluation and Record of Attendance
To receive verification of your attendance and CME hours, COMPLETE this evaluation form.

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* 1. Address

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* 2. Employer to Provider Contracting - How Does it Really Happen?

  Poor Fair Satisfactory Good Excellent
Jack Bert, M.D.

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* 3. What's New In Trauma

  Poor Fair Satisfactory Good Excellent
Mark Vrahas, M.D. (Moderator)
WLA Trauma Article Review - John Scolaro, M.D.
What's New in Femoral Neck Fractures - Carol Lin, M.D.
Pain Management in Acute MSK Injury - Emily Benson, M.D.
Proximal and Distal Fractures - Julius Bishop, M.D.

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* 4. The Foot and Ankle Great Debates Continue

  Poor Fair Satisfactory Good Excellent
Glenn Pfeffer, M.D. (Moderator)
The Perfect Bunionectomy for Moderate Deformity
Jonathan Kaplan, M.D.
David Friscia, M.D.
Glenn Pfeffer, M.D.
Role of Platelet Rich Plasma
Eric Ferkel, M.D.
Thomas (Tad) Kreman, M.D.
Lisfranc Injuries
Timothy Charlton, M.D.
David Lee, M.D.

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* 5. What's New In Elbow

  Poor Fair Satisfactory Good Excellent
Marc Trzeciak, DO (Moderator)
George Dyer, M.D.
Thomas Varecka, M.D.
Peter Evans, M.D., Ph.D.

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* 6. What's New in Shoulder?

  Poor Fair Satisfactory Good Excellent
Michael Hall, M.D (Moderator)
Surgery for First Time Discolator - Evan Lederman, M.D.
Common Modes of Reverse Arthroplasty Failure - John Itamura, M.D.
Non-Arthroplasty Options for Massive Rotator Cuff Tears - Anshu Singh, M.D.
Educational Merit

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* 7. Please rate the extent of your knowledge of the subject matter covered before and after this meeting;

  No knowledge Fair Satisfactory Good Expert
Before the meeting
After the meeting
To what extent do you think you will be able to apply the information
from this meeting in your practice?

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* 8. Cultural Competency:

  Strongly Disagree Disagree Neutral  Agree Strongly Agree
Issues in cultural and linguistic competency (e.g. differences in prevalence, diagnosis, treatment in diverse population; linguistic skills; pertinent cultural data) were adequately addressed in this activity:

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* 9. Resources on cultural and linguistic competency have been included in the meeting presentations and materials. How can we further meet your educational needs in this area?

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* 10. What barriers do you see to implementing changes that you learned about during the presentations today:

T