AGS19 Annual Meeting MOC Application

Thank you for attending the 2019 American Geriatrics Society Annual Scientific Meeting in Portland, OR. To claim up to 27.25 ABIM Maintenance of Certification (MOC) Points, you must complete a two step process:

1) Apply for CME via the online CME site: https://meeting.americangeriatrics.org/ AND
2) Answer MOC questions in this survey

If you have not completed the CME application yet, then you can not complete this MOC application. You MUST first complete the CME application in Step 1, then answer the MOC Questions in Step 2. Completion of both steps is required for MOC application.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 27.25 Medical Knowledge Points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program as listed above. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. To claim MOC points you must be enrolled in the ABIM Maintenance of Certification (MOC) program. For questions about ABIM’s MOC program, visit http://www.ABIM.org or contact ABIM at 800-441-2246.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address used during Registration for AGS19

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* 4. Date of Birth (MM/DD)

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* 5. What is your ABIM ID number?

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* 6. MOC Questions
All questions must be answered in order to obtain full MOC points.
Please describe three things about clinical practice, teaching, research, advocacy, and/or leadership that you learned from the Annual Meeting.
Describe first area of learning below:

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* 7. First area of learning is related to:

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* 8. Describe your second area of learning below:

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* 9. Your second area of learning is related to:

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* 10. Identify your third area of learning:

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* 11. Your third area of learning is related to:

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* 12. Please describe three changes in your clinical practice, teaching, research, advocacy, and/or leadership that you plan as a result of this Annual Meeting. You may also describe aspects of your clinical practice, teaching, research, advocacy, and/or leadership that you will continue as a result of the annual meeting.

Identify first area of change:

AGS19 Annual Meeting MOC Application

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email Address used during Registration for AGS19

Question Title

* 4. Date of Birth (MM/DD)

Question Title

* 5. What is your ABIM ID number?

Question Title

* 6. MOC Questions
All questions must be answered in order to obtain full MOC points.
Please describe three things about clinical practice, teaching, research, advocacy, and/or leadership that you learned from the Annual Meeting.
Describe first area of learning below:

Question Title

* 7. First area of learning is related to:

Question Title

* 8. Describe your second area of learning below:

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* 9. Your second area of learning is related to:

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* 10. Identify your third area of learning:

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* 11. Your third area of learning is related to:

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* 13. Area of learning related to:

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* 14. Identify your second area of change

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* 15. Area of learning related to:

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* 16. Identify your third area of change:

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* 17. Area of learning related to:

AGS19 Annual Meeting MOC Application

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email Address used during Registration for AGS19

Question Title

* 4. Date of Birth (MM/DD)

Question Title

* 5. What is your ABIM ID number?

Question Title

* 6. MOC QuestionsAll questions must be answered in order to obtain full MOC points.Please describe three things about clinical practice, teaching, research, advocacy, and/or leadership that you learned from the Annual Meeting.Describe first area of learning below:

Question Title

* 7. First area of learning is related to:

Question Title

* 8. Describe your second area of learning below:

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* 9. Your second area of learning is related to:

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* 10. Identify your third area of learning:

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* 11. Your third area of learning is related to:

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* 13. Area of learning related to:

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* 14. Identify your second area of change

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* 15. Area of learning related to:

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* 16. Identify your third area of change:

Question Title

* 17. Area of learning related to:

* 6. MOC Questions
All questions must be answered in order to obtain full MOC points.
Please describe three things about clinical practice, teaching, research, advocacy, and/or leadership that you learned from the Annual Meeting.
Describe first area of learning below: