-1) {alert(alerttxt);return false;} } function validate_email(field,alerttxt) { with (field) { var apos=value.indexOf("@"); var dotpos=value.lastIndexOf("."); var topdom = value.substring(dotpos+1,value.length); var valdoms=new Array("com","org","net","gov","mil","biz","edu","info","mobi","name"); var valdom = false; for (i=0;i" />
-1) {alert(alerttxt);return false;} } function validate_email(field,alerttxt) { with (field) { var apos=value.indexOf("@"); var dotpos=value.lastIndexOf("."); var topdom = value.substring(dotpos+1,value.length); var valdoms=new Array("com","org","net","gov","mil","biz","edu","info","mobi","name"); var valdom = false; for (i=0;i">
-1) {alert(alerttxt);return false;} } function validate_email(field,alerttxt) { with (field) { var apos=value.indexOf("@"); var dotpos=value.lastIndexOf("."); var topdom = value.substring(dotpos+1,value.length); var valdoms=new Array("com","org","net","gov","mil","biz","edu","info","mobi","name"); var valdom = false; for (i=0;i" />
-1) {alert(alerttxt);return false;} } function validate_email(field,alerttxt) { with (field) { var apos=value.indexOf("@"); var dotpos=value.lastIndexOf("."); var topdom = value.substring(dotpos+1,value.length); var valdoms=new Array("com","org","net","gov","mil","biz","edu","info","mobi","name"); var valdom = false; for (i=0;i" />
Simulation in Anesthesia for the Practicing Anesthesiologist Registration
Simulation in Anesthesia for the Practicing Anesthesiologist Registration
MOCA® Simulation Course
UW Health Clinical Simulation Program
Madison, Wisconsin
Saturday March 07, 2020 8:00AM - 4:00PM
SPONSORED BY University of Wisconsin School of Medicine and Public Health Department of Anesthesiology and UW Health Clinical Simulation Program
Registration Process Fill out the registration form below. When you click 'Continue' you will have a chance to review the information before submission. Once you have verified the information and submited the registration, you will be given instructions for making payment (also included in a confirmation email). We currently cannot accept payments on-line, so you will either mail payment via check, or contact the Simulation Program office to arrange credit card payment.
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City State
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EmailPhoneAlternate PhoneABA NumberYear of ABA CertificationBriefly describe your sub-specialty interest if applicable:Have you previously participated in a MOCA® simulation course, or another simulation course? If yes, what year and where?Special accommodation request (e.g., vegetarian diet, food allergies, physical needs, etc.):Scrub top size:
Scrub bottom size:
How did you hear about the course?
OtherDate of Class
Early registration (≥ 30 calendar days before course date): $1650 Late registration (< 30 calendar days before course date): $1750 Very late registration (≤ 7 days before course date): $1850 Total:
Click continue to verify your registration information.
For Further Information Course information available here: Course Program If you have immediate questions please contact Adam Weinstein, MD.