SAGES 2024 Fundamentals of Surgical Leadership CME Claim Form "*" indicates required fields The Society of American Gastrointestinal Surgeons (SAGES) is accredited by the Accreditation Council of Continuing Medical Education (ACCME) to provide continuing medical education for physicians.HiddenDate* MM slash DD slash YYYY Your Name*As you wish it to appear on your certificate. Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Suffix Email* Address* City State / Province / Region Are you a physician? (MD/DO)* Yes No Birth Month and Day* Example: 05/27Total Hours of Attendance Claimed:*Please enter a number from 0.25 to 14.0.SAGES designates this other [enduring, live] material activity for a maximum of 14 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. ABS CONTINUOUS CERTIFICATION PROGRAM Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME and Self-Assessment requirements of the American Board of Surgery’s Continuous Certification program. It is SAGES’ responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit. American Board of Surgery (ABS) Continuous Certification CreditsThese credits are only available for those who are Board certified by the ABS in the United States. If you qualify, please check the below checkbox. If not, you may leave the box blank and click submit to complete your claim.Certification I am Board Certified by the ABS in the United States. I understand that SAGES will submit my credits to the ACCME through the PARS system for direct upload to the ABS. It will take 2-3 weeks for your credits to display in the ABS dashboard if applicable. PhoneThis field is for validation purposes and should be left unchanged.