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?: yesno
ASPS #:
ASAPS MEMBER?: yesno
ASAPS #:

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

1. This course will enhance my professional effectiveness 54321

2. Was Patient Safety addressed? yesno

3. Would you recommend this meeting? yesno

4. Did any speakers promote commercial products above patient safety and evidence-based medicine?
yes - biasedno 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 – SurgicalNo new Surgical StrategiesPatient SafetyOther

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-SurgicalNo new Non-Surgical StrategiesPatient SafetyOther

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: 6.5654321 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