2024 Minnesota Surgical Society Annual Meeting

CME Evaluation Form

AMERICAN COLLEGE OF SURGEONS

Division of Education

Minnesota Surgical Society

A chapter of the American College of Surgeons

2024 Annual Meeting

May 3-4, 2024

Minneapolis, MN

Question Title

* Name

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* Choose One

MD, FACS

MD

DO

Other (please specify)

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* Email Address

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* Are you a member of the American College of Surgeons?

YES

NO

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* ACS Membership ID (credits will not post to your ACS MyCME webpage if ID not provided)

Question Title

* Choose One

Active Member

Associate Member

Resident

Medical Student

Research Trainee

Retired

Non-Member

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* Number of years in practice (optional)

Question Title

* Specialty (optional)