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Paris IC109 - The surgeon’s guide to SMILE: Complications and retreatments

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* 1. Participant Name:

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* 2. Professional Situation:

Resident

University

Hospital Staff

Ophthalmic Assistant

Private Practice

Industry

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* 3. What was your main reason for choosing this course?

Interesting Topic

Good Faculty

Well-known Course Director

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* 4. How did you rate the content of this course? (1 = poor, 5 = excellent)

1

2

3

4

5

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* 5. How useful was the course for your clinical practice? (1 = poor, 5 = excellent)

1

2

3

4

5

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* 6. Did all listed faculty members attend this course?

Yes

No

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* 7. Was the course free from commercial bias?

Yes

No

If no, what was the bias?

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* 8. Do you have any suggestions to improve the presentations in this course?

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* 9. How did you rate the quality of the speakers in this course? (1 = poor, 5 = excellent)

	1	2	3	4	5
G. Carp	G. Carp 1	G. Carp 2	G. Carp 3	G. Carp 4	G. Carp 5
A. Day	A. Day 1	A. Day 2	A. Day 3	A. Day 4	A. Day 5
D. Reinstein	D. Reinstein 1	D. Reinstein 2	D. Reinstein 3	D. Reinstein 4	D. Reinstein 5
A. Stuart	A. Stuart 1	A. Stuart 2	A. Stuart 3	A. Stuart 4	A. Stuart 5
R. Vida	R. Vida 1	R. Vida 2	R. Vida 3	R. Vida 4	R. Vida 5

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* 10. How did you rate the standard of English of the speakers in this course? (1 = poor, 5 = excellent)

	1	2	3	4	5
G. Carp	G. Carp 1	G. Carp 2	G. Carp 3	G. Carp 4	G. Carp 5
A. Day	A. Day 1	A. Day 2	A. Day 3	A. Day 4	A. Day 5
D. Reinstein	D. Reinstein 1	D. Reinstein 2	D. Reinstein 3	D. Reinstein 4	D. Reinstein 5
A. Stuart	A. Stuart 1	A. Stuart 2	A. Stuart 3	A. Stuart 4	A. Stuart 5
R. Vida	R. Vida 1	R. Vida 2	R. Vida 3	R. Vida 4	R. Vida 5

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* 11. General Comments and Suggestions: