MSS Spring Meeting

Evaluation Form

AMERICAN COLLEGE OF SURGEONS

Division of Education

Minnesota Surgical Society

American College of Surgeons Chapter

2023 Spring Meeting

May 5-6, 2023

Minneapolis, MN

Question Title

* 1. Name

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* 2. Choose One

MD, FACS

MD

DO

Other (please specify)

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* 3. Email Address

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

YES

NO

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

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* 6. Choose One

Active Member

Associate Member

Resident

Medical Student

Research Trainee

Retired

Non-Member

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* 7. Number of years in practice (optional)

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* 8. Specialty (optional)