CME Evaluation: A Walk through the JCAP Special Issue on Management of PANS

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A Walk through the JCAP Special Issue on Management of PANS - CME Evaluation

Name/Degree*

If you would like your credentials on your certificate, please include them beside your name. For example, Dr. John Smith, MD, PhD

Please select your professional title:*

Specialty*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Evaluation

Please evaluate the effectiveness of this CME activity on a scale of 1 to 5, with 1 being the LOWEST, and 5 being the HIGHEST.

Overall quality of this CME activity*

Did this activity meet the stated purpose/objective?*

Did this activity meet your expectations*

Please rate the Faculty/Speakers on a scale of 1-5 (1=poor, 5=excellent)*

Please rate the presenter’s mastery of the subject on a scale of 1-5 (1=poor, 5=excellent)*

This CME activity was evidence based and scientifically rigorous on a scale of 1-5 (1=poor, 5=excellent)*

Will the information you learned help change your daily workflow or other aspects of your practice?*

If you answered yes, what specific aspect(s) of your practice will change because of what you learned in this CME activity?

Was disclosure made to the audience (written disclosure on syllabus)?*

Please comment on the impact (if any) that this CME activity might have on your practice.

Additional comments and/or suggested topics for future CME activities?

Based on what you have learned, please list any possible barriers that will keep you from applying learned changes in your application.

Certification*

I certify that I have completed this CME activity as designed.

I am claiming that I participated in ______ credit/s of this CME activity (maximum for this activity 4 credits).*

Please enter a number from 0 to 4.

Signature*

Date*

Your certificate will be sent to you.

Please note that your CME certificate will be sent to you within a few weeks from the Wisconsin Medical Society. Thank you for participating in this event.

Phone

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CME Evaluation

A Walk through the JCAP Special Issue on Management of PANS

A Walk through the JCAP Special Issue on Management of PANS

CME Evaluation

A Walk through the JCAP Special Issue on Management of PANS - CME Evaluation

A Walk through the JCAP Special Issue on Management of PANS - CME Evaluation

Evaluation

Your certificate will be sent to you.

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