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2025 South Texas Chapter ACS Annual Meeting
CME Evaluation Form
AMERICAN COLLEGE OF SURGEONS
Division of Education
South Texas Chapters
American College of Surgeons
2025 Annual Meeting
February 20-22, 2025
Houston, TX
*
Name
(Required.)
*
Choose One
(Required.)
MD, FACS
MD
DO
Other (please specify)
*
Email Address
(Required.)
*
Are you a member of the American College of Surgeons?
(Required.)
YES
NO
ACS Membership ID (credits will not post to your ACS MyCME webpage if ID not provided)
*
Choose One
(Required.)
Active Member
Associate Member
Resident
Medical Student
Research Trainee
Retired
Non-Member
Birthday
Date
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Number of years in practice (optional)
*
State(s) you are licensed
(Required.)
Specialty (optional)
