"All Teach, All Learn, All Improve"

Thank you for your interest in Pediatrics teleECHO at the University of Utah! Please complete the survey below to register for this program. Should you have any questions about this survey or the registration process, please email Christina Choate at christina.choate@hsc.utah.edu. 

Question Title

* 1. First name

Question Title

* 2. Last name

Question Title

* 3. Professional training

Question Title

* 4. Facility at which you are employed or in school:

Question Title

* 5. What is your preferred email address?

Question Title

* 6. What is your preferred phone number?

Question Title

* 7. Please indicate which modules you would like to join.

Question Title

* 8. Would you like to receive MOC part 4 or PI-CME credit? All participants will engage in one self-directed basic quality improvement effort.

T