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* 2. Have you attended previous Thrombosis Canada conferences?

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* 3. Most of the patients with thrombosis that I see have problems in the following areas, so I would be interested in CPD on these topics:

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* 4. List the two diagnoses/clinical problems in thrombosis that you most frequently encounter:

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* 5. What skills or procedures related to thrombosis would you benefit from learning or reviewing?

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* 6. Which of the following subject areas in thrombosis would you benefit in learning more about? (Please check off all that apply):

  Very interested Interested Somewhat interested Low interest Not interested N/A
Peripheral vascular disease
Management of clots at unusual sites
Primary prevention of cancer associated thrombosis
Thrombosis management in special populations (obesity, thrombophilia, elderly, etc)
Acute and long-term management of VTE
Immobility and thrombosis risk
Distal/below knee DVT
Superficial venous thrombosis
Anticoagulation and renal failure
Thrombosis management in the emergency department
Thrombosis in indigenous people
Estimating bleeding risk while on anticoagulants
VTE and women's health
Venous thromboembolism prophylaxis following hip and knee replacement surgery
Treatment of cancer associated thrombosis
Thrombophilia testing: pearls and pitfalls
Anticoagulants and antiplatelet therapy
Warfarin use in 2020: who, what, why, when, how
Periprocedural management of anticoagulation
Diagnosis of DVT/PE
AFib and other cardiac disease

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* 7. Where do you go to get information about thrombosis (website(s), publication, colleague, etc.)? Please list all sources.

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* 8. Additional comments

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* 9. Name (Optional for $10 discount to conference)

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* 10. E-mail address (Optional for $10 discount to conference)

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