Please note required fields are marked with a red *
First Name * A value is required. Please print your name exactly as you wish it to appear on the certificate.
Last Name * A value is required. Please print your name exactly as you wish it to appear on the certificate.
Email * A value is required.
Please indicate your primary profession: * DO DPM MD NP PA other Please select an item.
You are currently a member of: AAS SUS Both Neither
Degree(s) held (Please choose all that apply): BA BS DO FACS MA MBA MD MPH MS NP PA PHD RN Other If Other, please specify:
Please select the category that best describes your primary duties: Active-Duty Military Surgeon Allied Health Non-Surgeon Medical Student Surgeon - Administrator Surgeon - Basic Science Researcher Surgeon - Clinical Surgeon - Clinical Researcher Surgeon - Educator Trainee
Please select your Rank: Professor Assistant Professor Associate Professor Fellow Graduate Student Medical Student Postdoctoral Fellow Resident Undergraduate Other If Other, please specify:
What is your Specialty? Anesthesiology Cardiac Surgery Colon and Rectal Surgery Endocrine Surgery General Surgery Laparoscopic Surgery Minimally Invasive Surgery Neurosurgery Ophthalmology Orthopedics Otorhinolaryngology Pathology Pediatric Surgery Plastic/Reconstructive Surgery Surgical Oncology Thoracic Surgery Transplantation Trauma/Critical Care Urology Vascular Surgery Other If Other, please specify:
Have you previously attended an ASC? Yes No
How were you made aware of this educational offering? (Please choose all that apply) Brochure ASC Website AAS Website SUS Website Facebook X formerly known as Twitter LinkedIn Word of Mouth Email Blast Other If Other, please specify:
Did this activity: Meet the following 5 learning objectives?
1. Identify important advancements relating to topics within academic surgery including Breast, Cardiothoracic, Colorectal, Cross Disciplinary, Endocrine, General Surgery, Global Surgery, Hepatopancreatobiliary, Minimally Invasive Surgery, Oncology, Pediatrics, Plastics, Transplantation, Trauma/Critical care, Upper GI/Bariatric, Vascular:
2. Develop an understanding of current issues in the advancement of the art and science of surgery.
3. Improve treatment strategies for surgical patients.
4. Discuss the latest basic science, translational, and health services research and the expected impact of these breakthroughs in future patient care.
5. Review the newest technologies that facilitate improved outcomes in surgical patients.
6. Based on what you learned at the 2026 Academic Surgical Congress, will you be making any changes as it relates to your practice? Yes No, What I learned confirms what I do in practice, and I will not be making any changes Does not apply to my current practice
7. If you answered Yes to Question 6, what will you do differently as it relates to your practice? (check all that apply) I am able to identify leadership roles/pathways (beyond the classic NIH K/RO1 -> Division Chief -> Chair track) and analyze how these roles can broaden career opportunities for academic surgeons. Prioritize relationship-building approaches that strengthen collaboration and mentorship across institutions and disciplines. I can differentiate between intellectual property strategies and funding mechanisms to support innovation. I will identify role models of non-traditional academic surgical leaders. I will understand the shifting landscape of surgical research funding and its implications for academic surgeon-scientists. I will refine medical students’ ability to craft clear, concise, and impactful application materials, highlighting personal statements and CVs that align with surgical career goals. I will examine the tension between supporting faculty and trainee well-being with adherence to policies. I will integrate branding strategies into long-term career planning, including leadership development, promotions, and academic advancement. I will enumerate common barriers to public trust in science and research funding by identifying communication gaps between scientists and lay audiences. I will evaluate key ethical and regulatory considerations that may challenge the place of AI, particularly in the operating room. I will recognize how to best support colleagues who are experiencing their own health related experiences. I will integrate strategies to effectively balance clinical responsibilities with long-term academic career development. Other
8. If you answered “Other” to Question 7, please list what other changes you will be making to your practice based on what you learned at 2026 Academic Surgical Congress below. If you did not select “Other” on Question 7, proceed directly to Question 9.
9. Was the education content free of commercial bias? Yes No
10. If you answered No to question 9, please explain and include specifics if possible.
11. Please rate how well the educational sessions gave a balanced view of therapeutic options, including the use of generic names? Excellent Very Good Good Fair Poor
12. If you indicated Poor in Question 11, please explain why you gave it a Poor rating:
13. Do you have any suggestions for the improvement of future meetings? Yes No
14. If you answered Yes to Question 13, please list your suggestions for improvements below. If you selected No to Question 13, proceed directly to Question 15.
15. Do you have any suggestions for specific ideas/topics for sessions next year? Yes No
16. If you answered Yes to Question 15, please list your suggestions for improvements below. If you selected No to Question 15, proceed directly to Question 16.
17. Moderators. Excellent Very Good Good Fair Poor
18. Registrations Process / Fees. Excellent Very Good Good Fair Poor
19. Overall Program. Excellent Very Good Good Fair Poor
20. Why did you choose to attend this meeting? (Check all that apply) Program Faculty To participate in quality scientific presentations Network with friends and colleagues To present paper or lecture To learn new surgical techniques Other
21. If you answered “Other” in Question 20, please list your reason for choosing to attend this meeting below. If you did not select “Other” for Question 20, proceed directly to Question 22.
22. At the ASC, I would prefer to attend scientific sessions primarily organized according to: (check only one) Scientific area of interest Clinical area of interest
23. Is earning CME important to you for attending this meeting Yes No
24. If claiming CME, what is your State License ID Number? (If not applicable, skip to question 28).
25. What State(s) are you licensed to practice in?
26. What is your ABS Number?
27. What is the month and date of your birthday?
28. Which elements of the event did you like the most?
29. What are some aspects we can improve upon for next year?
30. Do you have any other suggestions or feedback you would like to share?
Please indicate which of the following is true regarding this educational activity (select all that apply):
I expect that my participation in this activity will improve my: Knowledge gained from the new information presented?
This educational activity addressed the following American Board of Medical Specialties/Institute of Medicine core competencies (select all that apply):
Please indicate any barriers you perceive in implementing changes (select all that apply):
If Other, please explain:
I attest that I have completed the CME activity and I am only claiming the number of credits that are consistent with the hours of actual participation. Please select the hours of participation in the activity: * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Please select an item.
