DO YOU WANT US TO SUBMIT YOUR COMPLETION OF THIS ACTIVITY TO ABIM AND/OR ABS?As an accredited CME provider we are able to partner with select ABMS boards to designate MOC/Continuing Certification Credits/Points. This activity is approved for the boards listed below. You can click the hyperlinked board(s) to check for your Board ID number:American Board of Internal Medicine (ABIM)American Board of Surgery (ABS) It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABIM and/or ABS credit. Please answer the following questions in order to proceed. Submit to ABIM and/or ABS? * By responding “Yes” I agree to allow the HealthPartners Office of CME to share my completion information with the American Board of Internal Medicine (ABIM) and/or the American Board of Surgery (ABS) and the ACCME (Accreditation Council for Continuing Medical Education) so that points can be uploaded to my transcript. No, I am not an ABIM or ABS diplomate Yes, I want ABIM and/or ABS credit and agree to have my completion info shared First and Last name: * Verify that your name below appears how it is registered with ABIM. Make changes if necessary. What is your month and day of birth? * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Which Board are you a member of? * Select the Board(s) you are claiming credit for: American Board of Internal Medicine (ABIM) American Board of Surgery (ABS) What is your ABIM ID number? * American Board of Internal Medicine Please write a reflective statement on how you intend to change your practice based on the knowledge you gained from participating in this activity. Upon review and approval of your statement, your points will be submitted to the ABIM by the CME office.A good reflective statement includes:What you learned as a result of the activity & what will you do with new informationAny areas for improvementPlans for future learning or sustainabilityGeneric statements such as "Good conference. I learned a lot" or "This helps me treat my patients" will not be approved. Reflective Statement * Leave this field blank