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Osteopathic Physician Task Force Application
Use this form to apply to be a part of the Aquifer Osteopathic Task Force for 2022-2023
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Name
*
Your answer
Email
*
Your answer
Institution
*
Your answer
Which Aquifer courses do you use in your teaching?
*
Family Medicine
Internal Medicine
Pediatrics
Geriatrics
Radiology
High Value Care
Diagnostic Excellence
Oral Presentation Skills
WISE-MD (Surgery)
WISE-OnCall (Readiness for Practice)
None of the above
Required
Subject Area Expertise
Your answer
Why are you interested in joining the Aquifer Osteopathic Physician Task Force?
Your answer
I am able to attend the monthly virtual meeting (3rd Monday @ 3:00 p.m. EST)
Yes
No
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