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Empire Liver Foundation - Spring 2023 Hep C Clinical Series Registration

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. Sonal Kumar, MD
April 20, 2023 4:30-5:30PM

Session 2: Hepatitis C Treatment with Dr. Arun Jesudian, MD
April 27, 2023 4:30-5:30PM

Session 3: Hepatitis C Complications with Dr. Paul Gaglio, MD
May 4, 2023 4:30-5:30PM

Session 4: Hepatitis C Treatment in Persons Who Inject Drugs (PWID) with Dr. Sara Lorenz Taki, MD
May 11, 2023 4:30-5:30PM

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 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?

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.