current case study sets - California Tumor Tissue Registry

advertisement
CALIFORNIA TUMOR
TISSUE REGISTRY
2015-2016
11021 Campus Avenue, AH 335, Loma Linda, CA 92350
phone 909-558-4788 fax 909-558-0188
Subscription Programs
2015-2016 Yearly Glass Slide Subscriptions:
PRACTICING
PATHOLOGIST
PRACTICING
PATHOLOGIST
RESIDENCY
TEACHING
PROGRAM
RETIRED
PATHOLOGIST and/or
RESIDENT/
FELLOW
(Up to 3 participants per subscription.
Share 1 set of slides.
Each participant receives CME/SAM)
(Individual)
Must have a residency
program
Please provide a letter verifying
residency status
______ “A” $700
_____ “A” $450
_____ “A” $275.00
_____ “A” $225.00
______ ”B” $700
______”B” $450
_____ “B” $275.00
_____ “B” $225.00
For orders outside the USA, please add $65.00 per subscription-Receive 2 CME and/or SAM credits per set once the Registry
receives your answer sheets (8 sets = 16 CME and/or SAM). Each set has 10 cases. Residents do not get CME/SAM credit. A Fellow
will earn CME/SAM credit with a letter verifying fellowship. Loma Linda University School of Medicine designates this enduring material
for a maximum of 16 AMA PRA Category 1 Credit(s) TM. Physicians should claim only the credit commensurate with the extent of their
participation in the activity.
The American Board of Pathology also certifies this activity to provide up to 10 hours of SAM credit (Self Assessment Module).
None of the faculty or any other person in a position to control the educational content of this program have anything to disclose or resolve
2015-2016 Digital “C” Subscription:
For orders outside of the USA, please add $50.00 for
the “C” subscription- Receive 2 CME/SAM credits per set
once the Registry receives your answers sheets (8 sets =
16 CME/SAM) Each CD has 10 cases. Residents do not
get CME/SAM credit. A Fellow will earn CME/SAM
credit with a letter verifying fellowship.
___ “C” $250.00 (Non-Subscriber)
___ “C” $200.00 (Current 2014/15 A or B Subscriber)
___ “C” $200.00 (letter verifying residency)
Objectives: A & B Study sets: will be able to better interpret glass slides of common and rare tumors in categories that C Study Set: will be acquainted with newly
defined reading techniques (i.e. virtual slides); will be able to better interpret glass slides of common and rare tumors in categories that vary month to month; be able to
compare how your answers compare to those of numerous states and countries; will be knowledgeable to newly described entities.
***********************************************************************************************************************************
Subscriber/Registrant Information (to whom the set will be registered to receive CME/SAM)
Subscriber/Doctor:
Contact Person:
Facility
Shipping Address
P.O. Box
City
Phone
E-mail:
Please Circle:
Check
and/or Study Group Name:
State
Country
______________________________________
Visa
Master card
Name on Card:
Exp. Date
Zip
Fax
(Call CTTR with information if you wish)
Credit Card number
Zip code of the billing address:
First four numbers of credit card billing address:
Signature for Credit Card Authorization:
8% Sales tax will be added to all CA residents.
Download