FoEM Access Form (2024)

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Please complete this form if you'd like more information about Foundations of Emergency Medicine courses and temporary full access to the Foundations website (www.FoundationsEM.com). *** NOTE- The website password will be emailed to you within 48 hours of submitting the request***

Name *

Preferred email address? *

Program name? *

What specialty do you represent? *

Emergency Medicine

Other:

Where is your program located? *

United States

Outside the United States

Are you a *

Leader (faculty, fellow, chief resident)

Learner (resident, PA, NP, med student)

Which best describes your experience with FoEM? *

I have used some FoEM content in the past

I have never used FoEM content in the past

Which of the following describe your interest in FoEM? *

Check all that apply.

My program is considering implementing FoEM courses.

I'm just browsing to see what FoEM is about.

I'd like to use FoEM for personal study.

Other:

Required

How did you hear about FoEM? *

Check all that apply.

Recommendation from another program leader

Presentation at an academic conference

I've taught FoEM course content in the past.

I used FoEM courses as a learner in the past.

Google search

Literature search

Other:

Required

Submit

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