Evaluation Form

Certificates/Statements of Credit will be provided via email following program participation, and upon completion and return of this evaluation form.

Select the number of stars that best fits your evaluation of this program:

5=Excellent   4=Good   3=Fair   2=Poor    1=Failed

Learning Objectives

Into Clinical Practice

Select the number of stars that best fits your evaluation of Faculty for this program:

4=completely 3=quite a bit 2=somewhat 1=not at all

Application for Continuing Education Credit

For purposes of certification, please complete the following information. Please note that we will not forward or sell your contact information.

ABIM MOC Assessment Recognition Program Policies Designating MOC Points 
This activity “2020 ASPC Enduring Virtual Summit” is registered for American Board of Internal Medicine (ABIM) MOC points up to the maximum allowable AMA PRA Category 1 Credits™ for which the activity is designated.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.75 MOC points of Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program.  Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Therefore we need your permission below.