CME Application Form For Carolinas 2026 Joint CME Annual Conference

May 14, 2026

Please fill out the questionnaire to obtain the CME credit certificate.

Carolinas 2026 Annual Conference CME - May 16th 2026

Please complete the questions before you apply CME certificate.
2026 Carolinas CME ANNUAL CONFERENCE
100 Friday Center Dr, Chapel Hill, NC 27517, May 16, 2026

 

Please fill out your NAME and TITLE (Such as John Smith, MD) that you would like it to appear on the CME certificate and Email address you want it to be sent.

I attest that I attended the ANACP CME lecture(s).

1 / 6

As a result of this educational activity, please list 1-2 specific changes you plan to make in your clinical practice.

2 / 6

As a result of participating in this educational activity, how confident are you that there will be an improvement in your ability to apply current best practices and guidelines? Please select a rating from 1 (Not at all confident) to 5 (Highly confident).

3 / 6

The learning objectives of this educational activity were met. Please select from 1 (Strongly disagree) to  5 (Strongly agree)

4 / 6

Did you perceive any bias toward a "commercial interest" in this activity?

(An “ineligible company,” also known as a "commercial interest," is defined as any entity producing, marketing, selling, re-selling or distributing health care goods or services consumed by, or used on, patients. Among the exemptions to this definition are government organizations, non-health care related companies and non-profit organizations that do not advocate for commercial interests.)

5 / 6

In above question, if YES, please explain:

6 / 6

What barriers do you face in implementing what you learned at the activity?

Exit

 

 

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