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PERT Trainee Bootcamp!
Please fill out the form below to sign up for the PERT Trainee Bootcamp
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Name
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Email
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Phone number
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Address
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Address 2
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City
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State
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Zip Code
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Current residency or fellowship specialty (eg, internal medicine, pulmonary, vascular medicine, etc)
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Current Training Program
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Name of PERT Mentor
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How did you become interested in venous thromboembolic disease (VTE)?
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What has been your involvement to date with VTE (i.e. PERT program, research, etc.)? Please be as detailed and specific as possible as to your individual role and participation.
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List any abstracts, publications, or programs that you have been a part of as it pertains to VTE:
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What are your career goals and how do you see pulmonary embolism care being incorporated into your future practice?
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