01-Tuesday Sessions - 2010 CME Survey

Medical Education Resources and the SAS respect and appreciate your opinions. To assist us in evaluating the effectiveness of this activity and to make recommendations for future educational offerings, please take a few minutes to complete this evaluation form.

1. 
   If you wish to receive acknowledgement of participation for this activity, please TYPE in your contact information. This is necessary in order to receive your CME certificate. Statements of credit will be mailed within 6 weeks of the activity.
1. 
   
   1. First Name: 
2. 
   
   1. Last Name: 
3. 
   
   1. Specialty 
4. 
   
   1. Organization: 
2. 
   Degree:
1. MD
2. DO
3. PA
4. NP
5. RN
6. Other: (tap in box and type)


3. 
   Mailing Address:
1. Hospital / Academic / Office
2. Home
4. 
   
1. 
   
   1. Street: 
2. 
   
   1. City: 
3. 
   
   1. State: 
4. 
   
   1. Zip: 
5. 
   
   1. Country: 
6. 
   
   1. Telephone: 
7. 
   
   1. Fax: 
8. 
   
   1. Email: 
5. 
   I certify my actual time spent to complete this educational activity to be:
1. I participated in the entire activity and claim [24.5 Category I] credits.

Please answer the following questions by selecting the appropriate rating:
(1=Poor ...2=Fair ...3=Satisfactory ...4=Good ...5=Outstanding)

1. 
   Tue-0800-Precourse
   Effectiveness of the Individual Faculty Members:
   Scott Blumenthal, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



2. 
   Rudolf Bertagnoli, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



3. 
   Luiz Pimenta, MD, PhD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



4. 
   C.K. Park, MD, PhD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



5. 
   Louis J. Nel, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



6. 
   Matthew Scott-Young, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



7. 
   Overall, this symposium was worthwhile
1. Agree
2. Disagree
8. 
   The presentations in the symposium will affect my outlook and current opinion on the subject matter
1. Agree
2. Disagree
9. 
   The presentations provided me with new information that will allow me to change my current practice or will be incorporated into my practice
1. Agree
2. Disagree
10. 
    As a result of this presentation, I am:
1. More likely to perform this procedure
2. Less likely to perform this procedure
3. Would not change my treatment strategy
4. Other

02-Tue-1000-Panel
Please answer the following questions by selecting the appropriate rating:
(1=Poor ...2=Fair ...3=Satisfactory ...4=Good ...5=Outstanding)

1. 
   Tai Friesem, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



2. 
   J.J. Abitbol, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



3. 
   Rudolf Bertagnoli, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



4. 
   Richard Guyer, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



5. 
   Overall, this symposium was worthwhile
1. Agree
2. Disagree
6. 
   The presentations in the symposium will affect my outlook and current opinion on the subject matter
1. Agree
2. Disagree
7. 
   The presentations provided me with new information that will allow me to change my current practice or will be incorporated into my practice
1. Agree
2. Disagree
8. 
   As a result of this presentation, I am:
1. More likely to perform this procedure
2. Less likely to perform this procedure
3. Would not change my treatment strategy
4. Other

03-Tue-1100-MIS I
Please answer the following questions by selecting the appropriate rating:
(1=Poor ...2=Fair ...3=Satisfactory ...4=Good ...5=Outstanding)

1. 
   Moderator Jim Schwender, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



2. 
   T. Davis
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



3. 
   R. Pflugmacher
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



4. 
   A. Yeung
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



5. 
   K. Malone
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



6. 
   C.H. Kao
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



7. 
   Overall, this symposium was worthwhile
1. Agree
2. Disagree
8. 
   The presentations in the symposium will affect my outlook and current opinion on the subject matter
1. Agree
2. Disagree
9. 
   The presentations provided me with new information that will allow me to change my current practice or will be incorporated into my practice
1. Agree
2. Disagree
10. 
    As a result of this presentation, I am:
1. More likely to perform this procedure
2. Less likely to perform this procedure
3. Would not change my treatment strategy
4. Other

04-Tue-1300-Symposium 1: MIS
Please answer the following questions by selecting the appropriate rating:
(1=Poor ...2=Fair ...3=Satisfactory ...4=Good ...5=Outstanding)

1. 
   ModeratorJim Schwender, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



2. 
   Kern Singh, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



3. 
   Joseph Riina, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



4. 
   Anthony Yeung, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



5. 
   Isador Lieberman, MD MBA FRCS(C)
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



6. 
   Overall, this symposium was worthwhile
1. Agree
2. Disagree
7. 
   The presentations in the symposium will affect my outlook and current opinion on the subject matter
1. Agree
2. Disagree
8. 
   The presentations provided me with new information that will allow me to change my current practice or will be incorporated into my practice
1. Agree
2. Disagree
9. 
   As a result of this presentation, I am:
1. More likely to perform this procedure
2. Less likely to perform this procedure
3. Would not change my treatment strategy
4. Other

05-Tue-1445-MIS II
Please answer the following questions by selecting the appropriate rating:
(1=Poor ...2=Fair ...3=Satisfactory ...4=Good ...5=Outstanding)

1. 
   Moderator Choll Kim, MD, PhD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



2. 
   Moderator Larry Khoo, MD
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



3. 
   T.Julien
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



4. 
   W.D. Smith
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



5. 
   M.P. Lambat
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



6. 
   T. Raley
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



7. 
   H.S. Kim
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



8. 
   N. Anand
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



9. 
   H. Nicola
1. Knowledge of Subject Matter

1	2	3	4	5



2. Effective in Presenting Material

1	2	3	4	5



3. Avoided Commercial Bias or Influence

1	2	3	4	5



10. 
    Overall, this symposium was worthwhile
1. Agree
2. Disagree
11. 
    The presentations in the symposium will affect my outlook and current opinion on the subject matter
1. Agree
2. Disagree
12. 
    The presentations provided me with new information that will allow me to change my current practice or will be incorporated into my practice
1. Agree
2. Disagree
13. 
    As a result of this presentation, I am:
1. More likely to perform this procedure
2. Less likely to perform this procedure
3. Would not change my treatment strategy
4. Other