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optiTHERMM: UK Collaborator Sign-Up
Complete this form to sign up as a collaborator on the international optiTHERMM clinician survey.
We are currently accepting submissions from collaborators based in the UK.
Once we process your submission, we will send you a link via email to the official REDCap data collection form.
optiTHERMM Working Group
EMAIL:
info@optithermm.org
VIDEO:
https://youtu.be/oySDGTeZXV0
WEB:
https://optithermm.org/
TWITTER:
https://twitter.com/optiTHERMM
(@optiTHERMM)
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* Indicates required question
First name
*
Your answer
Last name
*
Your answer
Email
*
Your answer
Hospital at which you are based
*
Your answer
Position
*
Consultant
Registrar/staff grade doctor/middle grade doctor
Core Surgical Trainee/F2 doctor/Senior House Officer
F1 doctor
Medical student
Nurse
Other:
Specialty
*
Plastic Surgery
General Surgery
Anaesthetics/Intensive care
Paediatric Surgery
N/A
Other:
Data protection statement
*
We will store your name and email address for the purpose of contacting you about optiTHERMM. Your data will not be shared or used for another purpose. At the end of the study, your details will be erased. You can withdraw at any point by emailing
info@optithermm.org
I agree to the above terms
Required
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