Definitive Surgical and Anaesthetic Trauma Care Course - Aanmelden

Definitive Surgical and Anaesthetic Trauma Care Course 2022

I would like to register for course A on 8 & 9 November 2022 as:

Surgeon (DSTC) - €2225,00 (4/27)

Surgeon (DSTC) - I already paid for previous course (1/3)

I would like to register for course B on 10 & 11 November 2022 as:

Surgeon (DSTC) - €2225,- (15/27)

Surgeon (DSTC) - I already paid for previous course (0/3)

Waitlist: if you are not able to register for the course, please register for the waitlist:

https://docs.google.com/forms/d/e/1FAIpQLSdXcnch2Lvf4ZF7JYRVNJZ3QKCm7vI5KffW40TX6-NZYB1SCQ/viewform

If other, please fill here:

Position

Resident

Medical specialist

Other/ not applicable

Medical specialism *

Traumatology/surgery

Orthopedics

Other/ not applicable

Experience in trauma cases *

Less than 10 cases

Between 10-30 cases

More than 30 cases

Other/ not applicable

Dhr/Mw *

Titel

Voornaam *

Achternaam *

Land *

Postcode *

Huisnummer *

Straat *

Plaats *

Date of birth: *

-

-

E-mailadres *

Function

Organisation

Z-number (only for Radboudumc employees)

BIG nr. (in case you do not have a BIG nr please fill in zero) *

Food Allergy or Dietary Wishes

I agree with the general terms and conditions *

(download voorwaarden)

Totaal: € 0,00