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* 1. Check appropriate title.

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* 2. Please rate your overall satisfaction with the organization of this meeting.

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* 3. CME activities are required to be evidence based and bias free. Do you feel the presentations were balanced and free from commercial bias?

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* 4. Did the faculty disclose significant relationships with commercial support?
(One or more of these methods: Syllabus / Opening Remarks / Verbally / On Slides)

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* 5. Please rate the quality of the meeting facilities.

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* 6. How well was the course objective met?

  Significantly Met Somewhat Met Not Met
1. Assess medical conditions that impact the human spine.
2. Recommend treatment for their patients.
3. Acquire a greater understanding of more precise criteria for referring to surgical and non-surgical specialists for more advance treatment options.
4. Have a broader awareness of both conservative and surgical treatment options.
5. Have a broader awareness of new and innovative treatment options.
6. Have a greater understanding of the outcomes potential for alternative treatment options.

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* 7. Did you meet your personal goal/objective for what you intended to get out of this course?

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* 8. Please identify how you will change your practice as a result of attending this activity (select all that apply).

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* 9. Please rate the OVERALL EFFECTIVENESS of each of our speakers:

  Excellent Very Good Good Fair Poor
Scott Becker,  JD - Growth of Outpatient Spine Surgery
Ciara Harraher, MD  - Metrics of Outpatient Spine Surgery
Brian Gantwerker, MD - When is Outpatient not Outpatient?
Ken Nwosu, MD - Management of Osteoporotic Compression Fractures
Stephen Hochschuler, MD - Innovations in Outpatient Spine Surgery
William Tobler, MD - Outpatient Inter-laminar Decompression and Stabilization 
Jens Chapman, MD - Spine Surgery: A Crisis of Perception or Reality
Tony Tohmeh, MD - MIS Spine Surgery - From the Skeptic Surgeon Perspective
Mick Perez-Cruet, MD - Stem Cell Based Intervertebral Disc Regeneration 
Scott Blumenthal, MD - Outpatient Cervical ADR is Now the Gold Standard
Scott Lederhaus, MD - Ethics and Integrity: The Patient Comes First
Mike Wampold, JD - Informed Consent: The Patient's Right to Choose Their Physician 
David Newell, MD - Concurrent Surgeries
Moustapha Abou-Samra, MD - Integrity
Gail Van Norman, MD - What are Ethics and Professionalism? Lessons from Conrad Murray and the Michael Jackson Case
Tom Jacobs, JD & Parker Reich, JD - Biomechanical Assessments: The Legal View
Robin Young - The Research Co-op: One Solution to Systemic Bias in Clinical Research
Jens Chapman, MD - Risks of Spine Surgery - Do We Have Sufficient Data?
Stuart Massey - Efficiency, Predictability, Profitability Solutions 
Frank Wessbecher, MD - Neuroradiology Update
Christina Julian, MD - Efficacy of Epidural PRP in Treating Radiculopathy 
Jeff Dunkle - Delivering Value in New Healthcare Market
Doniel Drazin, MD - The Role of the Neurosurgeon in Technology Innovation
Ken Nwosu, MD - Surgical Management of Degenerative Spondylolisthesis
Geoffrey Andrews, PhD, MBA - Eccelearning 
Tony Tohmeh, MD - Rationale Behind Biologics... or Lack Thereof
Roland Kent, MD - Sagittal Balance and ACDF

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* 10. Based on your CME needs, please give suggestions for future program topics/formats.

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* 11. What barriers do you foresee that may hinder your implementation of changes learned at this activity? What educational strategies could help to overcome these barriers?

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* 12. How did you hear about this CME Program?

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* 13. Please provide your contact information.

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* 14. This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Foundation for Orthopaedic Research & Education (FORE) and South Sound Neurosurgery Research and Education Institute. The Foundation for Orthopaedic Research & Education is accredited by the ACCME to provide continuing medical education for physicians.

AMA Credit Designation Statement: FORE designates this live activity for a maximum of 9.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Please attest to the total number of credit hours (minimum .25- maximum 9.75) that you spent in this CME activity:

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