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* 1. Contact Information

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* 2. Occupation

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* 3. Hospital/Organization

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* 4. Are you requesting CME or CEUs?

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* 5. AMA PRA Category 1 Credit:
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 New Jersey Academy of Family Physicians and the American College of Physicians New Jersey Chapter. The New Jersey Academy of Family Physicians is accredited by the ACCME to provide continuing medical education for physicians.

The New Jersey Academy of Family Physicians designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits(s)™.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Maximum amount of credits that can be claims is 1.0. How many AMA PRA Category 1 Credits do you claim for this program? Please enter your response in the following format: #.##.

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* 6. CONTENT

  Strongly Agree Agree Disagree Strongly Disagree
Was organized and easy to follow
Met the objective(s)

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* 7. TRAINER

  Strongly Agree Agree Disagree Strongly Disagree
Knows and understands the topic
Was well organized and prepared
Was clear and easy to follow

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* 8. (Required for Physicians, PA's and APRN's Requesting CME)
This was a quality CME activity and met the following objectives:

  Strongly Agree Agree Disagree Strongly Disagree Comments:
Identify validated testing for food allergies, as well as commercially available testing that is not validated or evidence-based.
Recognize the limitations of food allergy testing.
Create an algorithm for how to initiate food allergy testing in a pediatric patient, and when to refer to an allergist.

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* 9. (Required for Physicians, PA's and APRN's Requesting CEUs)
Please rate the following statements:

  Strongly Agree Agree Disagree Strongly Disagree
This CEU activity will favorably influence my ability to practice at my highest level and assist in training others to do so.
I would definitely recommend this CEU activity to my colleagues.

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* 10. What did you like best about this session?

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* 11. What did you like least about this session?

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* 12. What two things are you committed to changing as a result of this webinar?

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* 13. Suggestions for Future Clinic Topics:

0 of 13 answered
 

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