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We will send you an email around mid-August when we begin accepting applications.
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First Name
Last Name
Email
Which training program will you be applying to?
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Adult
Peds
What is your profession?
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Rheumatologist MD or DO
Rheumatologist NP or PA
Other
Other profession
In the next academic year, to which of the following categories will you belong?
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Fellow
Non-Fellow
Fellowship year
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1st Year
2nd Year
3rd Year
4th Year
Which category best describes you?
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Academic practice, and train fellows
Academic practice, do not train fellows
Private practice, and train fellows
Private practice, do not train fellows
Name of the institution or practice where you work
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