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.