PARTICIPANT ACTIVITY EVALUATION

PARTICIPANT ACTIVITY EVALUATION

The Rhinoplasty Society Annual Meeting 2016
September 8-10, 2016
Versailles, France
Jointly provided by: The Rhinoplasty Society and American Society for Aesthetic Plastic Surgery

NAME:
EMAIL:
DATE:
ASPS MEMBER?:  yes no
ASPS #:
ASAPS MEMBER?:  yes no
ASAPS #:

Evaluation Scale: 5=Strongly Agree 4=Agree 3=Neutral 2=Disagree 1=Strongly Disagree

1. This course will enhance my professional effectiveness  5 4 3 2 1

2. Was Patient Safety addressed?  yes no

3. Would you recommend this meeting?  yes no

4. Did any speakers promote commercial products above patient safety and evidence-based medicine?
 yes - biased no bias (if yes, who/what?)

Select one or more of the following answers below:

5. Upon which areas will you be implementing a new surgical strategy, based on what you learned?  Nose – Surgical No new Surgical Strategies Patient Safety Other

Optional – Describe a new surgical strategy

6. Upon which areas will you be implementing a new non-surgical strategy, based on what you learned?  Nose – Non-Surgical No new Non-Surgical Strategies Patient Safety Other

Optional – Describe a new non-surgical strategy

7. Overall Comments

I certify that I attended the above course and claim (maximum 6.5) - choose one:  6.5 6 5 4 3 2 1 AMA PRA Category 1 credit™

Please click the 'send' button as this will send your form directly to the executive office.

A Certificate of Credit will be sent to you via email and your credits will be reported to ASPS