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Continuing medical education answer form
CONTINUING MEDICAL EDUCATION ANSWER FORM ISSUE
Month Volume.
--'-/--_
year Number
Assigned I.D. Number*
_ _ _
Cur rent ACFAS Memb er 0 YES 0 NO NAME,
_
ADDRESS
PHONE
FAX
88#
_
4. 0 A D B DC D D D E
5. 0 A
7. 0 A
8.0 A
9. 0 A
10. 0 A
DB DC D D DE
D B DC DD D E
2. 0 A DB DC
6. 0 A D D D D
_
A B C D E
A B C D E
l. D D D D D
B C D E
0 0 DE
3. 0 D D D D
D D D D
D D O D
B C O E
B C D E
D B DC O D DE
_
INS TR UCTIONS: Please return the answer form to Data Trace Publishing Company for grading . There is a f ee of $15.00 per issue ($12.00 f or ACFAS memb ers) for scoring and processing, payable in advance. Please make checks payable to Data Trace Publishing Company. All test results are confidential. You will be notified of the results within 30 days by return mail. You will be responsible for notifying your state of the number of credits yo u have received. The fee f or a retake exam is $5.00, payable in advance. Any questions or inquiries regarding the The Journal of Foot & Ankle Surgery Con tinuing Education Program should be directed to: Continuing Education Director Data Trace Publishing Com pany P.O. Box 1239 Brooklandville, MD 2102 2-9978 Or call (410) 494-4994
NOTE : All appli cants for cred it must be current subscribers to The Journal of Foot & Ank le Surgery or current me mbers of ACFAS in good standing. *Assigned by Data Trace Publishing Company. First-time CME participants will not have an assigned J.D. number; please leave blank.
THE JOURNAL OF FOOT & ANKLE SURGERY Copyrightf 200 I by the American College of Foot and Ankle Surgeons
State
License Number
State License
MISSION S TATEMENT Data Trace Publishing Company, a CPMEapproved sponsor of continuing education in podiatric medicine with authorization to sponsor instructional media, provides highquality continuing education programs through appropriate and effe ctive media in order to meet the educational needs of the podiatric medical profession and thereby enhance the quality of patient care. The objec tives of The Journal of Foot & Ankle Surgery CME instructi onal media program are to increase the level of knowledge and skills, increase the general level of competency, and enhance the quality of patient care by providing a broad overview of cur rent, original , medical and surgica l literature of high interest to the pod iatric medical profession in a reinforced learni ng environment.
Volume 40, Number 4, July/A ugust 200 I
VOLUME 40, NUMBER 4, JULY/AUGUST 2001
267
Month Volume.
--'-/--_
year Number
Assigned I.D. Number*
_ _ _
Cur rent ACFAS Memb er 0 YES 0 NO NAME,
_
ADDRESS
PHONE
FAX
88#
_
4. 0 A D B DC D D D E
5. 0 A
7. 0 A
8.0 A
9. 0 A
10. 0 A
DB DC D D DE
D B DC DD D E
2. 0 A DB DC
6. 0 A D D D D
_
A B C D E
A B C D E
l. D D D D D
B C D E
0 0 DE
3. 0 D D D D
D D D D
D D O D
B C O E
B C D E
D B DC O D DE
_
INS TR UCTIONS: Please return the answer form to Data Trace Publishing Company for grading . There is a f ee of $15.00 per issue ($12.00 f or ACFAS memb ers) for scoring and processing, payable in advance. Please make checks payable to Data Trace Publishing Company. All test results are confidential. You will be notified of the results within 30 days by return mail. You will be responsible for notifying your state of the number of credits yo u have received. The fee f or a retake exam is $5.00, payable in advance. Any questions or inquiries regarding the The Journal of Foot & Ankle Surgery Con tinuing Education Program should be directed to: Continuing Education Director Data Trace Publishing Com pany P.O. Box 1239 Brooklandville, MD 2102 2-9978 Or call (410) 494-4994
NOTE : All appli cants for cred it must be current subscribers to The Journal of Foot & Ank le Surgery or current me mbers of ACFAS in good standing. *Assigned by Data Trace Publishing Company. First-time CME participants will not have an assigned J.D. number; please leave blank.
THE JOURNAL OF FOOT & ANKLE SURGERY Copyrightf 200 I by the American College of Foot and Ankle Surgeons
State
License Number
State License
MISSION S TATEMENT Data Trace Publishing Company, a CPMEapproved sponsor of continuing education in podiatric medicine with authorization to sponsor instructional media, provides highquality continuing education programs through appropriate and effe ctive media in order to meet the educational needs of the podiatric medical profession and thereby enhance the quality of patient care. The objec tives of The Journal of Foot & Ankle Surgery CME instructi onal media program are to increase the level of knowledge and skills, increase the general level of competency, and enhance the quality of patient care by providing a broad overview of cur rent, original , medical and surgica l literature of high interest to the pod iatric medical profession in a reinforced learni ng environment.
Volume 40, Number 4, July/A ugust 200 I
VOLUME 40, NUMBER 4, JULY/AUGUST 2001
267