We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.
Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Skip survey header

Empire Liver Foundation - Hep B Clinical Series Registration December2022

Event Registration

The Empire Liver Foundation and the New York City Department of Health and Mental Hygiene invites you to attend the Hep B Clinical Series:

Session 1- Hepatitis B: An Overview with Dr. Jesudian
December 1, 2022 4:30-5:30 pm

Session 2- Treatment of Hepatitis B with Dr. Jacobson
December 8, 2022 4:30-5:30 pm

Session 3- Monitoring of Hepatitis B with Dr. Gaglio
December 15, 2022 4:30-5:30 pm

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.
Please enter an 'other' value for this selection.
Please enter an 'other' value for this selection.

5. 4. Organization or Institution Location:

6. 5. Organization or Institution Type:

Please enter an 'other' value for this selection.

7. 6. Select your credentials:

7. Have you treated a patient for hepatitis B in the past year?

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 B	Screen for hepatitis B: Never	Screen for hepatitis B: 1-2 times per year	Screen for hepatitis B: 1-2 times per month	Screen for hepatitis B: 1-2 times per week	Screen for hepatitis B: Daily
Diagnose hepatitis B	Diagnose hepatitis B: Never	Diagnose hepatitis B: 1-2 times per year	Diagnose hepatitis B: 1-2 times per month	Diagnose hepatitis B: 1-2 times per week	Diagnose hepatitis B: Daily
Conduct pre-treatment assessment for hepatitis B	Conduct pre-treatment assessment for hepatitis B: Never	Conduct pre-treatment assessment for hepatitis B: 1-2 times per year	Conduct pre-treatment assessment for hepatitis B: 1-2 times per month	Conduct pre-treatment assessment for hepatitis B: 1-2 times per week	Conduct pre-treatment assessment for hepatitis B: 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 hepatitis B, including monitoring patients during treatment	Treat hepatitis B, including monitoring patients during treatment : Never	Treat hepatitis B, including monitoring patients during treatment : 1-2 times per year	Treat hepatitis B, including monitoring patients during treatment : 1-2 times per month	Treat hepatitis B, including monitoring patients during treatment : 1-2 times per week	Treat hepatitis B, including monitoring patients during treatment : Daily
Treat hepatitis B in people with early stage liver disease	Treat hepatitis B in people with early stage liver disease: Never	Treat hepatitis B in people with early stage liver disease: 1-2 times per year	Treat hepatitis B in people with early stage liver disease: 1-2 times per month	Treat hepatitis B in people with early stage liver disease: 1-2 times per week	Treat hepatitis B in people with early stage liver disease: Daily
Treat hepatitis B in people with late stage liver disease	Treat hepatitis B in people with late stage liver disease: Never	Treat hepatitis B in people with late stage liver disease: 1-2 times per year	Treat hepatitis B in people with late stage liver disease: 1-2 times per month	Treat hepatitis B in people with late stage liver disease: 1-2 times per week	Treat hepatitis B in people with late stage liver disease: Daily
Refer complicated hepatitis B cases to specialty care	Refer complicated hepatitis B cases to specialty care: Never	Refer complicated hepatitis B cases to specialty care: 1-2 times per year	Refer complicated hepatitis B cases to specialty care: 1-2 times per month	Refer complicated hepatitis B cases to specialty care: 1-2 times per week	Refer complicated hepatitis B cases to specialty care: Daily
Educate hepatitis B patients to prevent secondary infection	Educate hepatitis B patients to prevent secondary infection: Never	Educate hepatitis B patients to prevent secondary infection: 1-2 times per year	Educate hepatitis B patients to prevent secondary infection: 1-2 times per month	Educate hepatitis B patients to prevent secondary infection: 1-2 times per week	Educate hepatitis B patients to prevent secondary infection: Daily

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

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

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

Note: After you click on "Submit" you will be directed to complete a form in GoToWebinar to complete your registration and receive your unique webinar access link.