EmailMe Form - Elite Anesthesia Education Classes

Please note that payment has been disabled on this form.
You may notify the owner and continue to submit the form.

Name: *
AANA number: *
1. As a result of participating in this CE activity, do you agree that you can:

a. Summarize new developments and trends in Anesthesia and Pain Medicine *
b. Discuss current and updated concepts in clinical practice *
c. Integrate new research data into treatment decisions or future outcomes *
d. Analyze patient management to determine the best solution for patient outcomes *
2. The facilitator was effective in presenting the material *
3. The presenter's teaching style was effective *
4. The content of the activity was relevant to the activity objectives *
5. The activity setting was appropriate and conducive to learning *
6. My learning objectives for this CE activity were sufficiently met *
7. Please state one item you learned that will improve your anesthesia practice *
8. Can you immediately identify any barriers that may prevent you from implementing what you learned in this activity? *
No
Yes
If "Yes" to question 8, please describe those barriers *
I understand a one time fee of $150.00 will be applied to my credit card via Paypal for Class A Credit
Yes
Signature *
Clear