AAEM22 Ultrasound Model Application Form
Yes, I would like to volunteer as a model for AAEM22! I verify that I have received and have read the Ultrasound Model Instructions for the AAEM Ultrasound Course(s) to be held at the American Academy of Emergency Medicine’s 28th Annual Scientific Assembly to be held at the Hilton Baltimore, 401 W. Pratt Street, Baltimore, MD.

I understand the instructions and agree to be a model for the Transabdominal, Neck and/or Cardiac (placement to be determined onsite) lab. After submitting this application, you will receive additional logistical instructions if you are selected. Participants are encouraged to invite a colleague to join them (please forward this link). One application per model.

Please contact Kathy Uy at AAEM for more information: 800-884-2236 or kuy@aaem.org.  Thank you for applying!

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Email *
First Name *
Last Name *
School or Institution Name *
I am available to serve as a model on (check all that apply) *
Required
Why would you like to serve as a model for this course? *
Do you have any questions or concerns about participating?   *
These questions are used to optimize your placement at a station): I am a: *
What is your age? (select one) *
What is your weight?  (select one) *
I verify that I have read the instructions and will prepare accordingly:   *
Please provide your cell phone number for onsite communication: *
A copy of your responses will be emailed to the address you provided.
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