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Empire Liver Foundation - Hep C Clinical Series Registration_Fall2022

Event Registration

The Empire Liver Foundation and the New York City Department of Health and Mental Hygiene invites you to attend Hep C Clinical Training Series. The recording for each session may be accessed after you complete this form.

Session 1: Hepatitis C: Epidemiology, Natural History and Diagnosis with Dr. Kumar
October 6, 2022 4:30-5:30PM EST

Session 2: Hepatitis C Treatment with Dr. Jesudian
October 13, 2022 2022 4:30-5:30PM EST

Session 3: Hepatitis C Complications with Dr. Bernstein
October 20, 2022 2022 4:30-5:30PM EST

Session 4: Hepatitis C Treatment in Persons Who Inject Drugs (PWID) with Dr. Taki
October 27, 2022 4:30-5:30PM EST

Please pre-register for this event below:

1. Your Registration Details *This question is required.

First Name *This question is required.

Last Name *This question is required.

Organization

Email Address *This question is required. This question requires a valid email address.

Additional Registration Information

2. 1. How did you hear about this training series?

Grand Rounds Session
Word-of-mouth
Supervisor
E-mail
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

3. 2. Your Professional Title:

4. 3. Which of the following best describes your occupation?

Please enter an 'other' value for this selection. * This question is required.
Please enter an 'other' value for this selection. * This question is required.
Please enter an 'other' value for this selection. * This question is required.

5. 4. Organization or Institution Location:

6. 5. Organization or Institution Type:

Please enter an 'other' value for this selection. * This question is required.

7. 6. Select your credentials:

MD
DO
PA
NP
RN
PharmD
Other - Specify (Required) Please enter an 'other' value for this selection. * This question is required.

7. Have you treated a patient for hepatitis C in the past 3 years?

8. About how often do you do each of the following?

Space Cell	Never	1-2 times per year	1-2 times per month	1-2 times per week	Daily
Screen for hepatitis C	Screen for hepatitis C: Never	Screen for hepatitis C: 1-2 times per year	Screen for hepatitis C: 1-2 times per month	Screen for hepatitis C: 1-2 times per week	Screen for hepatitis C: Daily
Diagnose hepatitis C	Diagnose hepatitis C: Never	Diagnose hepatitis C: 1-2 times per year	Diagnose hepatitis C: 1-2 times per month	Diagnose hepatitis C: 1-2 times per week	Diagnose hepatitis C: Daily
Conduct pre-treatment assessment for hepatitis C	Conduct pre-treatment assessment for hepatitis C: Never	Conduct pre-treatment assessment for hepatitis C: 1-2 times per year	Conduct pre-treatment assessment for hepatitis C: 1-2 times per month	Conduct pre-treatment assessment for hepatitis C: 1-2 times per week	Conduct pre-treatment assessment for hepatitis C: Daily
Screen for liver cancer	Screen for liver cancer: Never	Screen for liver cancer: 1-2 times per year	Screen for liver cancer: 1-2 times per month	Screen for liver cancer: 1-2 times per week	Screen for liver cancer: Daily
Treat of hepatitis C, including monitoring patients during and after treatment	Treat of hepatitis C, including monitoring patients during and after treatment: Never	Treat of hepatitis C, including monitoring patients during and after treatment: 1-2 times per year	Treat of hepatitis C, including monitoring patients during and after treatment: 1-2 times per month	Treat of hepatitis C, including monitoring patients during and after treatment: 1-2 times per week	Treat of hepatitis C, including monitoring patients during and after treatment: Daily
Treat hepatitis C in people living with HIV	Treat hepatitis C in people living with HIV: Never	Treat hepatitis C in people living with HIV: 1-2 times per year	Treat hepatitis C in people living with HIV: 1-2 times per month	Treat hepatitis C in people living with HIV: 1-2 times per week	Treat hepatitis C in people living with HIV: Daily
Treat hepatitis C in people who use drugs or alcohol	Treat hepatitis C in people who use drugs or alcohol: Never	Treat hepatitis C in people who use drugs or alcohol: 1-2 times per year	Treat hepatitis C in people who use drugs or alcohol: 1-2 times per month	Treat hepatitis C in people who use drugs or alcohol: 1-2 times per week	Treat hepatitis C in people who use drugs or alcohol: Daily
Treat hepatitis C in people with serious mental health issues	Treat hepatitis C in people with serious mental health issues: Never	Treat hepatitis C in people with serious mental health issues: 1-2 times per year	Treat hepatitis C in people with serious mental health issues: 1-2 times per month	Treat hepatitis C in people with serious mental health issues: 1-2 times per week	Treat hepatitis C in people with serious mental health issues: Daily
Treat hepatitis C in people with early stage liver disease	Treat hepatitis C in people with early stage liver disease: Never	Treat hepatitis C in people with early stage liver disease: 1-2 times per year	Treat hepatitis C in people with early stage liver disease: 1-2 times per month	Treat hepatitis C in people with early stage liver disease: 1-2 times per week	Treat hepatitis C in people with early stage liver disease: Daily
Treat hepatitis C in people with late stage liver disease	Treat hepatitis C in people with late stage liver disease: Never	Treat hepatitis C in people with late stage liver disease: 1-2 times per year	Treat hepatitis C in people with late stage liver disease: 1-2 times per month	Treat hepatitis C in people with late stage liver disease: 1-2 times per week	Treat hepatitis C in people with late stage liver disease: Daily
Refer complicated hepatitis C cases to specialty care	Refer complicated hepatitis C cases to specialty care: Never	Refer complicated hepatitis C cases to specialty care: 1-2 times per year	Refer complicated hepatitis C cases to specialty care: 1-2 times per month	Refer complicated hepatitis C cases to specialty care: 1-2 times per week	Refer complicated hepatitis C cases to specialty care: Daily
Educate patients to prevent hepatitis C reinfection	Educate patients to prevent hepatitis C reinfection: Never	Educate patients to prevent hepatitis C reinfection: 1-2 times per year	Educate patients to prevent hepatitis C reinfection: 1-2 times per month	Educate patients to prevent hepatitis C reinfection: 1-2 times per week	Educate patients to prevent hepatitis C reinfection: Daily

8. 9. Why are you choosing to take part in this training series? Check all that apply

To learn to treat hepatitis C
To gain additional knowledge and experience treating hepatitis C
To learn how I can support hepatitis C treatment coordination
To obtain CMEs

10. What do you hope to learn in this training series?

After clicking "register" you will be directed to a GoToWebinar form to complete the registration process and obtain your webinar access link.