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

Question Title

* 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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* Your Chapter?

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* Choose One

Active Member

Associate Member

Resident

Medical Student

Research Trainee

Retired

Non-Member

Texas Surgeon Joint Annual Meeting

Evaluation Form

Question Title

* Name

Question Title

* Choose One

Question Title

* 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)

Question Title

* Your Chapter?

Question Title

* Choose One

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* Number of years in practice (optional)

Question Title

* Specialty (optional)