2 Week MRI Fellowship Registration
Please fill this form and complete payment at least two weeks prior to arriving for a fellowship so that we may tailor course content to your needs. You can use the Paypal button directly above or below this form to complete your payment.
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Email address
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Your email
What is the scheduled start-date of your fellowship?
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Please note that you need to first speak with Dr. Sage to agree on a mutually acceptable date.
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What is your name?
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Your answer
What is the name of your clinic or university?
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Your answer
What are your credentials?
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DVM
MS
PhD
DACVR
Other
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What best describes your veterinary practice?
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Radiologist
Radiology resident currently in training
Post-residency trainee
Specialist
GP with an interest in MRI
What best describes your daily interaction with MRI studies?
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My practice owns an MRI machine
I refer my MRI cases to a human or remote veterinary imaging center for scans
I read teleradiology MRI cases for outside practices
I'm just looking for more MRI clinical experience, without direct access to MRI cases
Below is a list of topics that we generally cover. Please check any that you have a specific interest in or need to improve on.
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Physics of MRI, basic imaging sequences, protocol development, and patient positioning for optimal imaging quality
Brain: including neoplastic, inflammatory/infectious, vascular, congenital and neurodegenerative conditions
Spine: including intervertebral disc disease, neoplastic, inflammatory/infectious, vascular, and structural abnormalities
Orthopedic: including shoulder, elbow, stifle, and tarsus/carpus
Nerve sheath tumors (in their many locations)
Abdominal: including liver, spleen, portosystemic shunts, adrenal, pancreas, and genitourinary conditions
Thorax: including mediastinum, heart, pulmonary, and thoracic wall conditions
Head: including nasal, middle and inner ear, oral cavity, ocular and retrobulbar, salivary, and lymphatic conditions
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What specific goals do you want to achieve at the completion of this course?
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Your answer
Do you have any particular areas of interest that we should plan to cover?
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Your answer
Is there any other information we can provide for you about Georgetown, activities, hotels, restaurants, airport transportation, weather, etc?
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Your answer
I agree to use the Paypal button below to complete payment for this fellowship at least two weeks prior to my arrival.
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