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UBC Department of Surgery - Grand Rounds Session Attendance & Evaluation Form

The UBC Department of Surgery Grand Rounds are an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada.

Would you like a certificate of attendance for CME credits?*
*The certificate will be issued at the end of the 2024/25 academic year (June-July 2025) and will list the total hours attended.

Yes
No

First Name (Required for CME credits):

Last Name (Required for CME credits):

Email Address (Required for CME credits)

Affiliation

UBC Surgery Faculty Member
UBC Faculty Member (other Department)
Resident
Fellow
Medical Student
Hospital Active Staff
Administrative Support Staff
Other

Enter the date of the Rounds

Grand Rounds Topic/Title:

Did you attend this session in person, virtually or reviewed the recording at a later date?

attended live via Zoom
reviewed the recording at a later date
attended in person