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Continuing Medical Education Instruction/Print Out Answer Sheet

*To obtain credit: 70% or more of the answers must be correct.*

Application for Category 1 Credit (Valid through August 2003. No credit will be given after this date.)

Albert Einstein College of Medicine designates Immunotherapy for Cancer for a maximum of 4.0 hours in Category 1 Credit towards the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.

Please print out and mail the completed answer sheet to:

CCME
Albert Einstein College of Medicine
3301 Bainbridge Avenue
Bronx, NY 10467

Fee has been waived.


Name (please print clearly) Degree
Address
City State Zip
Office Telephone e-mail Specialty

Test questions – circle one answer for each

1. a b c d  6. a b c d 11. a b c d 16. a b c d
2. a b c d  7. a b c d 12. a b c d 17. a b c d
3. a b c d  8. a b c d 13. a b c d 18. a b c d
4. a b c d  9. a b c d 14. a b c d 19. a b c d
5. a b c d 10. a b c d 15. a b c d  

Please indicate the total time you spent on this educational activity.

Time spent _______ hour(s)

Signature _____________________________________________________


For more information, call the Center for Continuing Medical Education at  (718) 920-6674.


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