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Name:
Email:
Comment:
Email Address
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First Name
Last Name
Country
Professional Designation
Surgeon/Physician
Advanced Practice Provider (APP)
Nurse / NP
Coordinator / Other
Fellow / Resident
Did you receive your degree from Duke SOM?
Please list your year and specialty
What specialities are you interested in?
Abdominal Transplant Surgery
Cardiovascular and Thoracic Surgery
Emergency Medicine
Hand Surgery
Metabolic and Weight Loss Surgery
Pediatric General Surgery
Plastic, Maxillofacial, and Oral Surgery
Surgical Oncology
Surgical Sciences
Trauma, Acute, and Critical Care Surgery
Urology
Vascular and Endovascular Surgery
What activity format interests you?
Live Course
RSS/Grand Rounds
Workshop/Lab
Simulation Training
Online Course
Preferred format
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