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Additional Information
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If you or an accompanying person require special accommodations to fully participate, please describe your needs:

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What is your primary area of cardiothoracic surgical specialty?

Adult Cardiac General Thoracic Congenital Heart
 

What other areas of specialty do you perform in addition to your primary area of interest? (check all that apply.)

Adult Cardiac General Thoracic
Pediatric Congenital Heart Adult Congenital Heart
Critical Care Transplantation
Other
 

If you answered Other above, please describe.

 

In what type of hospital do you primarily practice?

Community hospital with no residents Community hospital with general surgery residents Community hospital with cardiothoracic residents
University teaching hospital with cardiothoracic surgery residents and no thoracic surgery fellows University teaching hospital with cardiothoracic surgery residents and thoracic surgery fellows Other
 

If you answered Other above, please describe.

 
 

**If registering a child, please include his/her age at time of Annual Meeting [e.g., John (12), Jill (10)].