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Ultrasound Leadership Academy Application
Please complete the following application and email your CV or resume to
alice@ultrasoundleadershipacademy.com
. Please label the CV/resume file with your name and send the email with ULA Application as the subject.
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The Ultrasound Leadership Academy offers a 12-month program that covers all aspects of point of care ultrasound. It is aimed at physicians looking to improve their clinical practice in emergency, critical care, and generalist settings. The program can be tailored to fit individual needs and interests within the scope of point of care ultrasound.
First and Last Name:
*
Your answer
Email:
*
Your answer
Location:
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City, State/Province, and Country
Your answer
Phone:
*
Your answer
Specialty:
*
Your answer
Current Role:
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(e.g., Attending, Consultant, Resident, Registrar, Fellow, etc.)
Your answer
Why are you seeking admission into the Ultrasound Leadership Academy?
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(<200 words)
Your answer
What is your previous ultrasound training or experience?
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(<200 words)
Your answer
Preferred Start Date:
MM
/
DD
/
YYYY
Other Comments/Questions:
Your answer
Where did you hear about ULA?
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Your answer
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