Program Evaluation 1 2 3 4 5 6 Thank you for taking the time to complete this CME evaluation. Your feedback is very important to the program directors. You will receive your certificate as a PDF attachment via email within two (2) weeks of submission. The subject line will be "CDM 2018 Certificate". Name and degrees/credentials*Please enter your name exactly as you would like it to appear on your certificate, including degrees and/or credentials. Your evaluation answers will be kept strictly confidential. Name and degrees/credentials Email Address*You will receive your certificate as a PDF attachment via email from Promedica International within two (2) weeks of submission. The subject line will be "CDM 2018 Certificate". Enter Email Confirm Email Type of Certificate*AMA PRA Category 1 CreditsNursing CE Contact HoursPerfusion CEUs (approved by the ABCP)No Credit Needed (no certificate will be sent)Promedica International is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Promedica International designates this live activity for a maximum of 12.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.Provider approved by the California Board of Registered Nursing, Provider #8495 for 12.25 Contact Hours for the Cardiovascular Disease Management symposium. This certificate must be retained by the licensee for a period of four years after the course ends.The American Board of Cardiovascular Perfusion (ABCP) has approved a total of 14.7 Category 1 CEUs for perfusionists for Thursday, October 11 (6.6), and Friday, October 12 (8.1). Number of AMA PRA Category 1 Credit(s)™*Please note that if you are also claiming ABIM MOC points, they will be equivalent to the number of AMA PRA Category 1 Credit(s)™ claimed.Please enter a value between 1 and 12.25.Would you like to also claim ABIM MOC points for your participation?*Please Note that physicians are able to claim ABIM MOC points through this online evaluation form through December 14, 2018. It is the CME activity provider’s responsibility to submit participant completion information to the ACCME for the purpose of granting ABIM MOC credit. By claiming ABIM MOC points via this form, you authorize Promedica International (the accredited provider) to submit the hours you claimed to the ABIM on your behalf.NoYesABIM ID*Your ABIM ID is 6 digits. If you do not know your ABIM ID, you can look it up here: https://www.abim.org/online/findcand.aspx.Date of Birth* MM DD YYYY Number of Contact Hours*Please enter a value between 1 and 12.25.Nursing License Number*Number of Perfusion CEUs*Please enter a value between 1 and 14.7. Overall comments on the symposiumPlease share what you have learned and will change or maintain in your practice and/or patient care as a result of this symposium. **This reflective statement is required in order to claim ABIM MOC Credits***Educational Objectives Rate how well you feel each educational objective was addressed. After attending the symposium, participants should be able to: Understand the new lipid agents and their potential impact on risk factors*ExcellentGoodFairPoorExamine the serious complications of diabetes, particularly peripheral vascular disease and wound care from the perspective of a cardiovascular specialist*ExcellentGoodFairPoorCompare and contrast management of the most common arrhythmia, atrial fibrillation*ExcellentGoodFairPoorUnderstand the clinical evaluation and treatment of congestive heart failure*ExcellentGoodFairPoorRecognize and evaluate patients with cardiovascular disease seen in a day-to-day practice setting, and to be able to gauge and manage therapy of these patients*ExcellentGoodFairPoorExplore cardiovascular treatment options on the horizon*ExcellentGoodFairPoorUnderstand and discuss the future of healthcare delivery in this new era*ExcellentGoodFairPoorComment Overall Program ReviewDid you hear anything in the accredited presentations that favored a specific product or company, not backed by clinical data?***If the answer is yes, it is important that you note the lecture/speaker and product concerned in the space provided.YesNoComment October 11 & 12, 2018Thursday, October 11, 2018 - Session I*View Session I.ExcellentGoodFairPoor*Did not attendThursday, October 11, 2018 - Session II*View Session IIExcellentGoodFairPoor*Did not attendFriday, October 12, 2018*View Session III.ExcellentGoodFairPoor*Did not attendFriday, October 12, 2018 - Session IV*View Session IV.ExcellentGoodFairPoor*Did not attendComment Needs AssessmentYour SpecialtyYou may select more than one option if applicable. Cardiology, Clinical Cardiology, Interventional Cardiothoracic Surgery Nursing Perfusion Vascular Medicine Other Specialty Information about "other"Methods of LearningYou may select more than one option if applicable. Articles DVDs Labs Lectures Webcasting Workshops Other Methods Information about "other"Barriers to ChangeYou may select more than one option if applicable. None Funding/Equipment Hospital/Practice Support Patient Compliance Other Barriers Information about "other"Location for a meetingYou may select more than one option if applicable. Hospital Hotel Resort Other Location Information about "other"EmailThis field is for validation purposes and should be left unchanged.
