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Pediatric Grand Rounds Online

Evaluation of Activity

Call the CME Transcript Hotline at 414-456-4896 to request a copy of your CME transcript.

* = Required Information

* Status (please check one):
    Private Physician
Faculty Physician
Fellow
Resident
Medical Student
Nursing/APN
Other (please state)

   
Excellent
(5) 		Very Good
(4) 		Good
(3) 		Fair
(2) 		Poor
(1)
* The speaker's level of expertise regarding content presented was:
* The quality of the discussion was:

  This program (please check all that apply):
    Met stated objectives.
  Was free of commercial bias.
  Will improve my ability to provide excellent patient care.
  Increased my knowledge, skills, or abilities within my medical specialty.

* How will you change your care of patients based on this meeting?:
* On which topics do you feel you need more education? And, is it a matter of knowledge or how to put the knowledge into practice?:
* The best feature of the presentation was:
* My suggestions to the speaker for improvement include:

* Name: Last, First
* Degree(s):
* Full street addresss:
* City:
* State:
* Zip:
* Country:
* Are you on staff at the Medical College of Wisconsin? Yes  No
* Are you on staff at Children's Hospital of Wisconsin? Yes  No
  

Hospital locations: Milwaukee and Fox Valley.

Children's Hospital of Wisconsin in Milwaukee, serving Wisconsin, Northern Illinois and
Michigan's Upper Peninsula and beyond through nationally-recognized programs.

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