Register - Complete Registration Form


* Institution (or referring institution, if different)  
* Office Phone:  
  Alternate Phone:  
* Email Address  
* Primary specialty  

* Are you board certified in your primary specialty?  
* Are you board certified in cardiac CT?  
* Years of experience reading coronary CTAs?   [one or two digits]
* Number of cardiac CTA cases read in your lifetime?  

* Number of cardiac CTA cases read in the past 12 months?  

* What is your level of training?  

* Training primarily aquired during?  

* Have you published as first author or senior author in cardiac CT?  
* Have you taught a CT course, either hands-on or lecture?  
* Gender  
* Age   [two digits]

* User Name   [6 to 12 characters]
* Password:   [6 to 20 characters]
* Retype Password:   [Must match Password]
Select your training dates  
* Please carefully consider the timeframe in which you wish to complete the case review, as your account will only be activated for the week you select here.
* Contact information may be released to third-party professional organizations.  

* E-mail reminders will be sent one week prior to account activation. If you need to change this date after registration has been completed, please contact us at

* Background CTA reading experience will be kept strictly confidential. Aggregate and anonymized data may be used in post-trial publications; participants in the PROMISE CTA Case Review will be acknowledged.

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