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ACMS - 42nd Annual Meeting
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Agreement
By completing this form, you attest that you have attended the activity in its entirety.
Please rate the following:
The program was relevant to my work.
Content matched stated objectives.
Usefulness of handouts/AV.

Quality of facilities.

How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?
If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain:
Objective 1: Describe various research projects being pursued within the areas of Mohs surgery, cutaneous oncology,and reconstruction.
The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The above objective will result in improved patient outcomes.
Objective 2: Identify controversial practices in the field of Mohs surgery and cutaneous oncology and explain both arguments for and against particular techniques.
The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The above objective will result in improved patient outcomes.
Objective 3: Describe the correct way to bill for Mohs surgery, reconstruction, and other dermatologic surgery procedures in real clinical situations.
The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The above objective will result in improved patient outcomes.
Objective 4: Discuss the principles and limitations of MR, CT, and US as applied to non-melanoma skin cancer.
The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The above objective will result in improved patient outcomes.
Objective 5: Discuss various ways to reconstruct specific surgical defects for optimal cosmetic and functional results.
The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The above objective will result in improved patient outcomes.
Objective 6: Discuss the optimal management of unusual and difficult tumors.
The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The above objective will result in improved patient outcomes.
The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The above objective will result in improved patient outcomes.
Objective 8: Explain how to perform novel techniques for repair of surgical defects of the nose, ears, lips, eyes, scalp and extremities.
The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The above objective will result in improved patient outcomes.
Objective 9: Discuss the different laser and non-laser devices available on the market and understand how to use lasers in your practice as an adjunct to Mohs surgery.
The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The above objective will result in improved patient outcomes.
Objective 10: Explain how to more accurately diagnose skin cancers.
The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The above objective will result in improved patient outcomes.
Objective 11: Discuss the latest advances in management of various skin cancers including melanoa, EMPD, DFSP, BCC, SCC and less common tumors.
The above objective will increase my professional competence.
The above objective will result in changes to performance in my professional practice.
The above objective will result in improved patient outcomes.
Please answer the following:
Do you believe this activity was appropriate for the scope of your professional practice?
Was the educational content scientifically sound?
Was the educational content free from commercial bias?
Was the mode of education effective for learning?
If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?
If you answered 'No' to any of the above questions, please explain:
Were you solicited by sales personnel in an educational room while you attended this educational activity?
If you answered 'Yes' to the above question, please explain:
What did you learn during this activity that you intend to integrate into your practice?

My professional competence would be improved if I had training on:

My professional performance would be improved if I had training on:

My patient outcomes would be improved if I had training on:

Are you interested in basic, intermediate or advanced level trainings?
What barriers might you have that would interfere with implementation of new information from this training?
How could this training be improved to impact your competence or performance in practice?
Additional comments:
The next ACMS Annual Meeting will take place Thursday, April 28 - Sunday, May 1, 2011 at Caesars Palace in Las Vegas. Please check the statement below which closely reflects your attendance at this meeting:
Did you visit the Exhibit Hall?
New Important Information That Should be Presented to Improve My KNOWLEDGE (Check all that apply)
Melanoma
Merkel Cell
Basal Cell
Squamous Cell
Other Tumors
Surgery
Technology
Lab
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