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SDEP Abdomen May 2023 Lab LIVE Virtual Survey
Survey: SDEP® Abdomen Lab LIVE Virtual – May 5-7, 2023, Andover, New Jersey
20-759087
Email
(Required)
First Name
(Required)
Last Name
(Required)
What state is your license issued in?
(Required)
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UM
UT
VA
VI
VT
WA
WI
WV
WY
International/Other
What is your license number?
(Required)
*Technicians please put N/A
Professional Code
(Required)
V
VT
N/A
(Use the following profession codes for this board: Veterinarian=V; Veterinarian Technician=VT) SELECT FROM DROPDOWN!
Veterinary Credentials
(Required)
DVM
DACVIM
DACVR
DABVP
DACVS
DACVSMR
Technician
Not A Veterinarian
DACVAA
DACVD
DACVECC
DACVIM-SAIM
DACVO
DACVP
DACVS-SA
DAVDC
DDA
ABVP
AH
APAC
ARDMS
ARF
BS
BSc
BVSc
CCRP
CCRT
CERP
CVA
CVCHM
CVJ
CVPP
CVT
ECVIM
HBSc
JD
LVT
MBA
MHS
MPH
MRCVS
MS
MSc
NAP
PhD
PT
RDMS
RPG
RVT
VMD
Corporate Affiliation
(Required)
Please use NA if you do not have a corporate affiliation.
Company Name
(Required)
Address
(Required)
City
(Required)
State
(Required)
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UM
UT
VA
VI
VT
WA
WI
WV
WY
International/Other
Postal Code
(Required)
Mobile Phone Number
(Required)
Let us know a little bit about you
Tell us about your current ABDOMINAL ultrasound level so we can tailor our teaching to your needs.
(Required)
I am a Beginner – I’ve barely done any scanning
I am intermediate – I get most organs, but have trouble with adrenals and high-end views
I am advanced- I readily get organs, but would like to improve my efficiency on high end views and clinical approach to pathology
Other
How many people will be in your scanning group?
(Required)
1
2
3
Other
Please add the names of your scanning group members below
(Required)
If you are not in a group, put NA
Are you familiar with the SDEP® Abdomen Protocol?
(Required)
Yes – I have been scanning with the SDEP® Protocol
No – I do not use the SDEP® protocol
If yes, where did you receive your training?
(Required)
Previous Hands on Lab with SonoPath
Previous LIVE Virtual Lab
SDEP® Abdomen online virtual course on SonoPath Education
Other
What do you hope to achieve from the LIVE Virtual wet lab sessions?
(Required)
What specific areas would you like to be addressed in the wet lab?
(Required)
What do you hope to learn from the pathology lectures?
(Required)
What brand is your Ultrasound machine?
(Required)
GE
Mindray
SonoPath NinjaSP
Esaote
Toshiba
Samsung
Phillips
Hitachi
Fuji
Wisonic
Sonoscape
Other
If other, please list your ultrasound machine brand and model here.
(Required)
Please list the model of your ultrasound machine model.
(Required)
What probes will you be using? (provide the specific names)
(Required)
Do you need help with dicom configuration and sending from your machine?
(Required)
Yes
No
Do you currently submit cases to a telemedicine company for evaluation?
(Required)
Yes
No
Are you looking to upgrade your current ultrasound system?
(Required)
Yes
No
Please select all that apply
I am interested in learning more about the SonoPath NinjaSP
I am interested in acquiring more probes
I am interested in a pricing consultation regarding the SonoPath NinjaSP
I have other questions
Please list your questions here
How did you find out about our ultrasound lab?
(Required)
Attended a lab before
Google Search
I received an email
Facebook
Linked In
Dr. Lindquist
A friend or colleague told me about it
Would you like information on SonoPath's telemedicine and virtual coaching services?
(Required)
Yes
No
Have you set up your FREE telemedicine account with SonoPath?
(Required)
Yes
No
As part of your Live virtual CE requirements, you will be asked to submit a case for a QC Evaluation on your technique that you learned over the weekend (no diagnostics will be provided).
Are you interested in receiving information on following up with 1 on 1 remote training for scanning refinement?
(Required)
Yes
No
If you did not order the Educational package with your Live virtual course – would you like to now?
(Required)
Yes – please invoice me for the Educational pkg. ($400)
No thank you
SDEP® 17 Pt. Abd. Progression Poster $115.00
The Educational Support Package includes: The Curbside Guide (paperback), SDEP® 17 Pt. Abdomen Progression Poster & Ultimate Image Digital Library. The package will be mailed to you before the weekend lab.
Anything else you would like to let us know? Any Questions?
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