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Women Against AD - AMWA 2018
About You
1.
Please provide the following information: If you prefer not to respond, please leave the question blank
Age
Sex/Gender
Race/Ethnicity
*
2.
Are you an AMWA member?
(Required.)
Yes
No
*
3.
What is your current level of training?
(Required.)
Pre-Medical student
Medical Student
Resident
Fellow
Attending
*
4.
What is your specialty.
If you are a pre-medical or medical student please select the specialty you are most interested in pursuing.
(Required.)
Allergy/Immunology
Anesthesiology
Cardiology
Dermatology
Diagnostic Radiology
Emergency Medicine
Family medicine
Gastroenterology
Geriatrics
Hematology/Oncology
Internal Medicine
Nephrology
Neurology
OB/GYN
Occupational Medicine
Opthalmology
Otolaryngology
Pathology
Pediatrics
Physical Medicine Rehabilitation
Psychiatry
Radiation Oncology
Rheumatology
Surgery (General, Orthopedic, Plastic, Vascular, etc.)
Urology
Other (please specify)
Current Progress,
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