ABAIM Accreditation Verification Form - Introductory Course Step 1 of 7 14% Please Note: This program will be designated for CME credit. Program Description / Statement of Need: The ABAIM AI in Medicine Introductory Course is a comprehensive, two-day course on basic concepts in artificial intelligence in clinical medicine and healthcare designed by a team of clinician-data scientists as well as clinicians with an AI focus and data scientists who are involved in healthcare. This course is for all who are interested in having an overall review of concepts and applications in artificial intelligence in clinical medicine and healthcare. Target Audience: The ABAIM AI in Medicine Introductory Course is for all who are interested in having an overall review of concepts and applications in artificial intelligence in clinical medicine and healthcare. Accreditation and CME Credit Statements: This CME activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME). Northwest Imaging Forums (NWIF) is accredited by the ACCME to provide continuing medical education for physicians. NWIF designates this live activity for a maximum of 10.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Nurses may claim credit for activities approved for AMA PRA Category 1 CreditsTM in most states, for up to 50% of the nursing requirement for re-certification. This activity is designated for up to 10.5 AMA PRA Category 1 CreditsTM. Faculty and Planner Disclosures: As an accredited provider of continuing medical education, it is the policy of Northwest Imaging Forums (NWIF) to ensure balance, independence, objectivity, and scientific rigor in all of its live activities. In accordance with this policy, faculty and planners must disclose any financial relationships with commercial interests germane to program content. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of NWIF to ensure that the COI is resolved in order to ensure the integrity of the CME activity. The planner has nothing to disclose. Select an Event*Select an EventAmerican Board of Artificial Intelligence in Medicine Introductory Course - October 7 - 8Please choose the applicable accreditation* Physician CME Full Name ( As your want is displayed on your Certificate)* First Last CredentialsMDMD, PhDDOPARNSpecialty* * Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* I certify that I attended the above referenced conference claiming XX Hours of credit (maximum for this activity is 10.5 credit).*1.02.03.04.05.06.07.08.09.010.010.5I certify that I have completed this CME activity as designedSignature*Course Date* MM slash DD slash YYYY Evaluation:Please evaluate the effectiveness of this CME activity on a scale of 1 to 5, with 1 being the LOWEST, and 5 being the HIGHEST by selecting your choice.1. Overall quality of this CME/CE activity 1 Lowest 2 3 4 5 Highest 2. Content 1 Lowest 2 3 4 5 Highest 3. Format 1 Lowest 2 3 4 5 Highest Which Sections of the course did you like the most 4. Speaker EvaluationAnthony Chang, MD, MBA, MPH, MS 1 Lowest 2 3 4 5 Highest Orest B. Boyko, MD, PhD 1 Lowest 2 3 4 5 Highest SONIA GUPTA, MD 1 Lowest 2 3 4 5 Highest MAY WANG, PHD 1 Lowest 2 3 4 5 Highest IOANNIS KAKADIARIS, PHD 1 Lowest 2 3 4 5 Highest ROBERT HOYT, MD 1 Lowest 2 3 4 5 Highest Alfonso Limon, PhD 1 Lowest 2 3 4 5 Highest Sara Gerke 1 Lowest 2 3 4 5 Highest Tanveer Syeda-Mahmood 1 Lowest 2 3 4 5 Highest Arlen Meyers 1 Lowest 2 3 4 5 Highest 5. Achievement of Educational ObjectivesA. Review the evolution of artificial intelligence in society as well as in medicine and healthcare* 1 Lowest 2 3 4 5 Highest B. Evaluate the future aspects of artificial intelligence in clinical medicine and healthcare* 1 Lowest 2 3 4 5 Highest C. Explore intellectual and cultural similarities and differences between clinicians and data scientists* 1 Lowest 2 3 4 5 Highest 6 This CME activity provided a balanced, scientifically rigorous presentation of therapeutic options related to the topic, without commercial bias. 1 Lowest 2 3 4 5 Highest Comments 7. Please describe how this CME activity will change your practice and/or the strategies you plan to implement in your practice.8. Please comment on the impact (if any) that this CME activity might have on the clinical care you administer.9. Additional comments and/or suggested topics for future CME activities?EmailThis field is for validation purposes and should be left unchanged.