North American Skull Base Society | 29th Annual Meeting February 14, 2019 | Orlando, FL 2019 NASBS pituitary Education Day CME Breakdown per Topic NASBS Pre-Meeting Pituitary Ed Day Certificate Step 1 of 2 50% Name* First Last Email* Are you a member of the American College of Surgeons?* Yes No ACS Membership ID (required)*Credits will not post to your ACS MyCME webpage if ID not provided. Are you a practicing physician?* Yes No, I am not a physician and/or currently practicing Your Name*As you wish it to appear on the certificate. Prefix Mr.Mrs.MissMs.Dr.Prof.Rev. First Middle Last Suffix Total Hours of Attendance Claimed*Please enter a number from 0.25 to 8.75.AMA PRA Category 1 Credits™ The American College of Surgeons designates this live activity for a maximum of 8.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.*NOTE: 15 MINUTES OF SESSION ATTENDANCE = 0.25 AMA PRA CATEGORY 1 CREDITS™ 1. Overall, how would you rate this educational activity?* Excellent Very Good Good Fair Poor 2. Program topics and content met the stated objectives.* Strongly Agree Agree Neutral Disagree Strongly Disagree 3. Content was relevant to my educational needs.* Strongly Agree Agree Neutral Disagree Strongly Disagree 4. Educational format was conducive to learning.* Strongly Agree Agree Neutral Disagree Strongly Disagree 5. Acquired knowledge will be applied in my practice environment.* Strongly Agree Agree Neutral Disagree Strongly Disagree 6. I will seek additional information on this subject.* Strongly Agree Agree Neutral Disagree Strongly Disagree 7. Program was fair, objective, and unbiased toward any product or program.* Strongly Agree Agree Neutral Disagree Strongly Disagree 8. Please explain any specific instance(s) of bias or conflict of interest.*9. List a minimum of two things you are going to change in your practice as a result of what you have learned at this activity.* 10. Describe the barriers anticipated when implementing the above changes.*11. Do you have any suggestions for future topics to support and/or expand on what you have learned at this activity?*How was the quality of the presentations? Excellent Good Neutral Fair Poor How was the opportunity to ask questions? Excellent Good Neutral Fair Poor How would you recommend we improve the course?12. Additional CommentsPhoneThis field is for validation purposes and should be left unchanged.