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Texas Surgeon Joint Annual Meeting
Evaluation Form
AMERICAN COLLEGE OF SURGEONS
Division of Education
North & South Texas Chapters
American College of Surgeons
2023 Annual Meeting
February 23-25, 2023
Austin, 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)
*
Your Chapter?
(Required.)
North Texas Chapter
South Texas Chapter
*
Choose One
(Required.)
Active Member
Associate Member
Resident
Medical Student
Research Trainee
Retired
Non-Member
Number of years in practice (optional)
Specialty (optional)
