How would you like your name to appear on your certificate?

Profession

How many credit hours did you complete?

Credit Hours (maximum: 17.25)

Agreement

By completing this form, you attest that you have attended the number of hours you have indicated above.

I agree

Was the educational content of value to you?

Very Valuable

Average

Not Valuable

Was the educational content scientifically sound?

Yes

No

If no, please explain...

Did you perceive any commercial bias or influence in the educational content?

Yes

No

If yes, please explain...

Did this activity improve your Knowledge or Skills?Â

Yes

No

If yes, how...

After attending the Board Review Course, were the following educational objectives met?

Describe the basic principles of endocrine physiology and pathophysiology.

Yes

No

Apply principles of endocrine physiology and pathophysiology to achieve an understanding of pediatric endocrine diseases.

Yes

No

Formulate logical plans for the diagnosis and treatment of pediatric endocrine diseases.

Yes

No

If no, why...

Do you think what you learned will benefit you in your practice?

Yes

No

If yes, how...

Were your expectations met with program content?

If no, why...

Were your expectations met with program speakers?

Yes

No

If no, why...

Were your expectations met with program materials?

Yes

No

If no, why...

What topic that was not addressed, or was not addressed enough, would you like to see addressed in an educational activity?