Survey Tool
Peer to Peer: ACS CME Registration
 
Thank you for your interest in PEER TO PEER: A New Model for Improving Guideline- and Evidence-Based ACS Care. To receive more information on this complimentary certified CME series, please complete the following form. Catherine Mullaney, your Med-IQ liaison for this activity will be contacting you soon with more information about this series.
 
  Please select your ACS topic:
 
Risk assessment and risk stratification in ACS
Time-to-treatment in STEMI patients
Use of antithrombotics and anticoagulants in ACS
Discharge planning and secondary prevention
 
   
  Are you affiliated with a PCI-capable insitituion?
 
Yes
No
  Other:
 
 
   
  First Name, MI:
 
  Last Name:
 
 
   
  Gender:
 
Male Female
 
   
  Degree:
 
MD
DO
PA
NP
RN
Other
  Other:
 
 
   
  Specialty:
 
Cardiology
Emergency Medicine
Other
  Other:
 
 
   
  Mailing Address:
 
  City:
 
  State:
 
  Zip Code:
 
 
   
  Phone:
 
  Fax:
 
 
   
  E-mail:
 
 
   
  How many physicians are in your practice?