Survey

Chief Residents Summit Respiratory Registration

You are in the right spot to register for the virtual Chief Residents Summit Respiratory. Before you register, we would like your input on some initial survey questions that will help us make sure that the Summit addresses the issues and concerns that are most important to you.

How many patients do you see per month with...

Asthma?

[ Required ]

Select...

COPD?

[ Required ]

Select...

Other respiratory diseases?

[ Required ]

Select...

True or False? The 2024 GINA Report includes revised recommendations for initial asthma treatment.

[ Required ]

Which of the following is a new section introduced in the 2024 GOLD Report?

[ Required ]

Which of the following drug combinations represents an ICS + fast-acting bronchodilator inhaler approved in the US for as-needed use to reduce the risk of asthma exacerbations?

[ Required ]

Please indicate your knowledge level regarding...

The diagnosis of asthma

[ Required ]

The diagnosis of COPD

[ Required ]

Patient burden with respiratory disease

[ Required ]

Helping my patients with asthma avoid exacerbations

[ Required ]

Helping my patients with COPD avoid exacerbations

[ Required ]

Treating my patients with asthma post-exacerbation

[ Required ]

Treating my patients with COPD post-exacerbation

[ Required ]

What is your reaction to the following statement?

I am comfortable managing my patients with asthma according to the recommendation of the 2024 GINA Report.

[ Required ]

I am comfortable managing my patients with COPD according to the recommendation of the 2024 GOLD Report.

[ Required ]

What is the greatest challenge you face in managing patients with respiratory disease?

Now on to the actual registration...

Are you a chief or senior resident? Note that if you are not, you are not eligible to participate and should stop filling out the registration form.

[ Required ]

Which type of residency program do you attend?

[ Required ]

Select...

Your full name (first and last - more if you wish!)

[ Required ]

Cell Phone

[ Required ][ Invalid telephone (###)###-#### ]

Your non-Residency Program Email Address (Gmail, Yahoo, Hotmail, etc.) - we find program firewalls often cause a problem when sending you documents.

[ Required ][ Invalid e-mail address ]

Residency Program

[ Required ]

Residency Program Address (include city, state, zip)

[ Required ]

Name of Residency Coordinator

[ Required ]

Residency Coordinator Email

[ Required ][ Invalid e-mail address ]

Name of Residency Director

[ Required ]

Residency Director Email

[ Required ][ Invalid e-mail address ]

Please indicate your awareness of the following by selecting "Yes" below to show your approval.

Pictures and videos taken during the Summit may show you in attendance. I give permission for my image to be used by organizers for promotional or educational purposes, and for comments I make in the evaluation forms to be used for such purposes.

[ Required ]

I have confirmed that my residency schedule allows me to attend November 16th and 17th of 2024.

[ Required ]

Your contacts for the Summit are Desma Rozovics (ac@pceconsortium.org) and Nora Williams of the Primary Care Education Consortium (nwilliams@pceconsortium.org), 704-752-0257). Don't hesitate to contact us if you have any questions. Please add those names and addresses to your contacts now so emails don't end up in spam!

AM I REGISTERED YET??? Not yet. You must be one of the first two senior or chief residents from your program to register to qualify for CRS Respiratory. We do have a limited number of spaces for each type of residency program. If those spaces are filled, you will be waitlisted. You are welcome to register for the waitlist even if two other residents from your program have already completed registration or all the spaces for your type of residency program are filled.

If you are placed on the waiting list and no spaces open up to allow for your attendance, you will be given access to the recorded presentations after the Summit.

We will be following up with you soon with more information. We have a great weekend planned for you!