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2022 Michigan Future of Family Medicine Conference & Residency Connection Registration
Basic Information
*
First Name
*
Last Name
Credentials
*
I Plan to Attend
In-person (includes breakfast, lunch, 3 panel sessions, choice of 2 workshops, hybrid residency connection – in-person residency fair + webinars with programs in the two weeks leading up to the conference)
Virtually (includes 3 livestreamed panel sessions, virtual residency connection webinars with programs in the two weeks leading up to the conference. I understand I will not be able to attend any workshops)
*
Email Address
*
Medical School / Residency Program
*
I am a...
1st-year student
2nd-year student
3rd-year student
4th-year student
PGY-1 resident
PGY-2 resident
PGY-3 resident
Faculty
*
For my first workshop, I would like to attend (choose one; workshops are available to in-person attendees only)
Point of Care Ultrasound
Punch & Shave Biopsies
GYN Procedures
Nexplanon Insertion (limited to 10 students per workshop session; available on a first-come, first-served basis)
I am attending the conference virtually and understand I will not be able to participate in a workshop
*
For my second workshop, I would like to attend (choose one; workshops are available to in-person attendees only)
Punch & Shave Biopsies
Point of Care Ultrasound
GYN Procedures
Nexplanon Insertion (limited to 10 students per workshop session; available on a first-come, first-served basis)
I am attending the conference virtually and understand I will not be able to participate in a workshop
Registration Type
Non MAFP Member Price - $65.00
Faculty Price - $60.00
Cancel
