laura-registration

Country

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Which best describes your occupation / type of involvement in the Healthcare industry?

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Which of the following best categorizes your current degree attainment status?

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How would you classify your primary practice setting?

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Private Practice
Group Practice
Other
General Hospital
Teaching Hospital
Ambulatory Care Center
Long Term Care/Nursing Home

What is your primary specialty?

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Which of these Allergy & Immunology sub-specialties are you involved with? Please select all that apply.

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Allergy
Allergy & Immunology/Diagnostic Lab
Allergy & Immunology
Immunology
Pediatric Allergy
Pediatric Immunology
None of the above
Other

Which of these Anesthesiology sub-specialties are you involved with? Please select all that apply.

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Critical Care Anesthetics
Pain Management Anesthetics
None of the above
Hospice and Palliative Medicine

Which of these Cardiology sub-specialties are you involved with? Please select all that apply.

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IM - Cardiac Electrophysiology
Interventional Cardiology
Nuclear Cardiology
None of the above

Which of these Dermatology sub-specialties are you involved with? Please select all that apply.

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Dermatopathology
Pediatric Dermatology
None of the above
Cosmetic Dermatology

Which of these Emergency Medicine sub-specialties are you involved with? Please select all that apply.

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Emergency Medical Toxicology
Emergency/Sports Medicine
Hospitalist
Pediatric Emergency Medicine
Undersea and Hyperbaric Medicine
Urgent Care Medicine
None of the above

Which of these Endocrinology, Diabetes & Metabolism sub-specialties are you involved with? Please select all that apply.

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Diabetes
Reproductive Endocrinology
None of the above

Which of these Family Practice / General Practice sub-specialties are you involved with? Please select all that apply.

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Adolescent Medicine (Family Practice)
Geriatrics
Sleep Medicine
None of the above

Which of these Gastroenterology sub-specialties are you involved with? Please select all that apply.

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None of the above
Hepatology

Which of these Genetics sub-specialties are you involved with? Please select all that apply.

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Clinical Biochemical Genetics
Clinical Cytogenetics
Clinical Genetics
Clinical Molecular Genetics
Medical Genetics
Metabolic Genetics
Molecular Genetic Pathology
Pediatric Genetics
None of the above

Which of these Geriatrics sub-specialties are you involved with? Please select all that apply.

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Family Practice-Geriatric Med
Geriatric Psychiatry
Hospitalist
Internal Medicine - Geriatrics
Other
None of the above
Long-term Care Geriatrics

Which of these Hematology sub-specialties are you involved with? Please select all that apply.

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Hematology/Oncology
Pediatric Hematology
None of the above

Which of these Infectious Diseases sub-specialties are you involved with? Please select all that apply.

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HIV/AIDs Specialist
None of the above

Which of these Obstetrics & Gynecology sub-specialties are you involved with? Please select all that apply.

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Gynecology
Maternal & Fetal Medicine
Reproductive Endocrinology
Surgery
Gynecologic Oncology
None of the above

What type of oncology do you specialize in? Please select all that apply.

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Clinical Oncology
Gynecological Oncology
Hematology/Oncology
Medical Oncology
Orthopedic Musculo Oncology
Pediatric Hematology Oncology
Radiation Oncology
Surgical Oncology
None of the above

Which of these Ophthalmology sub-specialties are you involved with? Please select all that apply.

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Pediatric Opthalmology
Retinal Specialists
None of the above
Glaucoma Specialist

What type of orthopedics/Orthopedic Surgery do you specialize in? Please select all that apply.

This field is mandatory

Hand Surgery
Orthopedic Surgery of the Spine
Adult Recon Surgery
Orthopedic Pediatric Surgery
Orthopedic Sports Medicine
Orthopedic Surgery - Trauma
Orthopedics (Foot & ankle)
None of the above

Which of these Otolaryngology / ENT sub-specialties are you involved with? Please select all that apply.

This field is mandatory

Otology - Neurotology
Pediatric Otolaryngology
Plastic Surgery - Head & Neck
None of the above
Sleep Medicine

Which of these Physical Medicine & Rehabilitation sub-specialties are you involved with? Please select all that apply.

This field is mandatory

Pediatric Rehabilitation Medicine
Spinal Cord Injury
Sports Medicine
None of the above

Which of these Plastic / Cosmetic Surgery sub-specialties are you involved with? Please select all that apply.

This field is mandatory

Bariatric Surgery
Craniofacial Surgery
Facial Plastic Surgery
Laproscopic Surgery
Reconstructive Surgery
None of the above

Which of these Preventive Medicine sub-specialties are you involved with? Please select all that apply.

This field is mandatory

Aerospace Medicine
Occupational Medicine
Preventive Medical Toxicology
Public Health/General Prevent Med
Undersea Medicine
None of the above

Which of these Pulmonology sub-specialties are you involved with? Please select all that apply.

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Hospitalist
Pulmonary Critical Care Med.
None of the above
Pulmonary Critical Care Medicine/Intensivist
Sleep Medicine

Which of these Rheumatology sub-specialties are you involved with? Please select all that apply.

This field is mandatory

Pediatric Rheumatology
None of the above

Which of these Urology sub-specialties are you involved with? Please select all that apply.

This field is mandatory

Pediatric Urology
Proctology
Urological Surgery
None of the above
Female Pelvic Medicine and Reconstructive Surgery

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