2025 Louisiana Chapter ACS Annual Meeting

CME Evaluation Form

AMERICAN COLLEGE OF SURGEONS

Division of Education

Louisiana Chapter

American College of Surgeons

2025 Annual Meeting

April 4-6, 2025

New Orleans, LA

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* Name

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* Choose One

MD, FACS

Other (please specify)

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* Email Address

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* Are you a member of the American College of Surgeons?

YES

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* ACS Membership ID (credits will not post to your ACS MyCME webpage if ID not provided)

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* Choose One

Active Member

Associate Member

Resident

Medical Student

Research Trainee

Retired

Non-Member

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* Birthday

Date

2025 Louisiana Chapter ACS Annual Meeting

CME Evaluation Form

Question Title

* Name

Question Title

* Choose One

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* Email Address

Question Title

* Are you a member of the American College of Surgeons?

Question Title

* ACS Membership ID (credits will not post to your ACS MyCME webpage if ID not provided)

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* Choose One

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* Birthday

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* Number of years in practice (optional)

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* State(s) you are licensed

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* Specialty (optional)