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?