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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. The ACCME defines commercial bias as presentations giving an unbalanced view of therapeutic options by promoting a specific proprietary business interest of a commercial interest.

Was this CME course free of 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 were the Calusa Spine course objectives met?

Upon completion of the course participants should be able to:

  Significantly Met Somewhat Met Not Met
Evaluate and discuss treatment options for ambulatory and outpatient spine conditions
Assess the current and future trends in emerging technologies
Assess the general health care marketplace

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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. Do you intend to integrate what you learned at this conference into your current practice?

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* 9. Please rate the relevance of this program to your scope of practice:

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* 10. Please rate the OVERALL EFFECTIVENESS of each of our Calusa Spine Ambulatory Spine Conference speakers
SESSION II: Calusa Case Studies

  Excellent Very Good Good Fair Poor
Reginald Davis, MD - Case Slide Presentations 

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* 11. Please rate the OVERALL EFFECTIVENESS of each of our Calusa Spine Ambulatory Spine Conference speakers
SESSION III: Ambulatory Options for Cervical Spondylosis

  Excellent Very Good Good Fair Poor
Robin Young, MD - Spine Market Overview
John Peloza, MD - ACF
Michael Weiss, MD - Cervical Decompression
Reginald Davis, MD - Total Disc Replacement 

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* 12. Please rate the OVERALL EFFECTIVENESS of each of our Calusa Spine Ambulatory Spine Conference speakers
SESSION IV: Ambulatory Options for Lumbar Spondylosis

  Excellent Very Good Good Fair Poor
James Billys, MD - Oblique Lateral Interbody Fusion
Joseph Zavatsky, MD - Lateral Lumbar Interbody Fusion 
Reginald Davis, MD - Interlaminar Decompression and Stabilization 
Hallett Mathews, MD, MBA - Evidence Based Management of Spinal Stenosis 
Drs. Mathews, Wohns, Zavatsky, Davis, Peloza, Mathews - Lumbar Stenosis Panel Discussion

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* 13. Please rate the OVERALL EFFECTIVENESS of each of our Calusa Spine Ambulatory Spine Conference speakers
SESSION VI: The State of the Ambulatory Spine Industry 

  Excellent Very Good Good Fair Poor
Jeff Dunkel - Data and Registration Evaluations 

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* 14. Please rate the OVERALL EFFECTIVENESS of each of our Calusa Spine Ambulatory Spine Conference speakers
SESSION VII: Industry Outcomes

  Excellent Very Good Good Fair Poor
Lisa Ferrara, PhD - Truss Interbody Biomechanics
Tim Ganey, PhD - The Science of Interbody Biomechanics
Boyle Cheng, PhD - Metal Versus PEEK
Keynote Speaker: Richard Wohns, MD, JD, MBA - Outpatient Spine Surgery: The Next Five Years

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* 15. Please rate the OVERALL EFFECTIVENESS of each of our Calusa Spine Ambulatory Spine Conference speakers
SESSION VIII: Biologics

  Excellent Very Good Good Fair Poor
Tim Ganey, PhD - Cell-Based Therapies
Adam Bruggerman, MD - Surface Technology

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* 16. Please rate the OVERALL EFFECTIVENESS of each of our Calusa Spine Ambulatory Spine Conference speakers
SESSION IX: Advanced Ambulatory Treatment Options

  Excellent Very Good Good Fair Poor
Bruce McCormack, MD - MIS Posterior Cervical Fusion
Reginald Davis, MD - Stand-Alone Technology
James Billys, MD - Sacroiliac Joint Dysfunction 
James Yue, MD - Full Endoscopic Lumbar Decompression 

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* 17. Please rate the OVERALL EFFECTIVENESS of each of our Calusa Spine Ambulatory Spine Conference speakers
SESSION X: Biomechanics

  Excellent Very Good Good Fair Poor
Lisa Ferrara, PhD - Biomechanics of the Spine
Scott Webb, DO - Expandable Technologies
Scott Webb, DO - Kambins Oblique Lateral Interbody Fusion
Chip Wade, PhD - Vertebral Motion Analysis
Jason Inzana, PhD - Interspinous Process Fixation 

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

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* 19. 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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* 20. What do you see as your BIGGEST challenge in improving patient safety, patient care and/or patient outcomes? What educational strategies could help to overcome this challenge?

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* 21. Please rate thefollowing:

  Excellent Very Good Good Fair Poor
Conference Location
Length of Conference
Recreational Activites

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* 22. What are your thoughts on extending the conference and beginning Friday afternoon?

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* 23. Would you be interested in attending this conference again next year?

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

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* 25. Please provide your contact information.

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* 26. 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 the Foundation for Orthopaedic Research and Education (FORE) and Laser Spine Institute (LSI). FORE is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation Statement Foundation for Orthopaedic Research and Education designates this live activity for a maximum of 11.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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