BTPT: British Transplant Physician Trainees

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Thank you for completing this form to express your interest in transplantation as a trainee in a physicianly specialty. By providing your name and email address, you’re giving permission for us to store these only for the purpose of contacting you with further details as plans to establish a society evolve. You are not committing to membership at this stage.

Please type your full name *

Please type your email address *

Please select your primary specialty *

Nephrology

Gastroenterology/Hepatology

Cardiology

Respiratory

Endocrinology/Diabetes

Paediatrics

Intensive Care Medicine

Other:

Please select your current training status *

ST3 and below

ST4

ST5

ST6

ST7

Out-of-programme

Clinical Fellow

Other:

Please select your location *

England

Scotland

Northern Ireland

Wales

Other:

Are you currently a member of The British Transplantation Society (BTS)?

Yes

Unsure

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What would you be interested in or find valuable from BTPT? *

Networking & social aspects

Educational/training events

Online educational events/resources

Collaborative research opportunities

Leadership position opportunities

Other:

Required

Any other comments?

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