STREAM - STREAM 2022 - SAM Credit
How would you like your name to appear on your certificate?
Profession
Select Your Profession
Other
Physician
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What activities did you attend at the event?
Session 1 - 8:35 - 10:30 am
-- Select an Activity --
PAE: Basic to Advanced
Session 2 - 10:45 - 12:15 pm
-- Select an Activity --
PAE: Out of the Box
Session 3 - 1:00 - 2:50 pm
-- Select an Activity --
Musculoskeletal Intervention
Session 4 - 3:05 - 4:30 pm
-- Select an Activity --
Pain in the Neck or Pain in the Butt
Session 5 - 8:30 - 12:00
-- Select an Activity --
Prevention M&M: Lessons Learned/Embolization Morbidity & Mortality
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Agreement
By completing this form, you attest that you have participated in all selected activities in thier entirety.
I agree
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If you need MOC credit, you must answer the following:
Please enter your ABS ID#:
Please enter your Date of Birth:
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Was the educational content of value to you?
Yes
No
Did you attend the session in its entirety?
Yes
No
Did you attend the session in its entirety?
Yes
No
Did you attend the session in its entirety?
Yes
No
Did you attend the session in its entirety?
Yes
No
Did you attend the session in its entirety?
Yes
No
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Was the educational content scientifically sound?
Yes
No
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If no, please explain...
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Did you perceive any commercial bias or influence in the educational content?
Yes
No
If yes, please explain...
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Did this program improve your Skill or Strategy in your role or contribution as a member of the healthcare team?
Yes
No
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If no, why not?
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Do you believe your participation in this activity will positively impact your healthcare team?
Yes
No
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If yes, how?
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If no, why not?
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Tell us how well or poorly we met any of the educational objectives:
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Do you think what you learned will benefit you in your practice?
Yes
No
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If yes, how...
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Tell us what was good or bad about any part of the educational activity - content, speakers, materials, anything:
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What questions are you having in your practice that you would like to see addressed in an educational activity?
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Additional comments:
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