ASE CME Evaluation Pre-Meeting Clerkship Courses - The Association for Surgical Education

Name*
First Last
Email*
Are you a member of the American College of Surgeons?*
- Yes
- No
ACS Membership ID
Credits will not post to your ACS MyCME webpage if ID not provided.
Are you a Practicing Physician?*
- Yes
- No, I am not a physician or not currently practicing
Your Name*
As you wish it to appear on your CME certificate
Prefix First Middle Last Suffix
Total Hours of Attendance Claimed*
Please enter a number from 0.25 to 8.25.
AMA PRA Category 1 Credits™ The American College of Surgeons designates this live activity for a maximum of 8.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. *NOTE: 15 MINUTES OF SESSION ATTENDANCE = 0.25 AMA PRA CATEGORY 1 CREDITS™