IBS PRACTICE CIRCLES
Improving Clinical Proficiency:
Enhancing Care for Your IBS Patients
Username
Password
Jointly sponsored by
REGISTRATION
All fields are required for registration.
First Name:
Last Name:
Middle Initial:
Please create a username:
Please create a password:
Degree:
--Please select one--
MD
DO
NP
PA
Other (please specify)
Other degree (please specify):
Specialty:
Subspecialty:
Affiliation Information:
Street Address:
City:
State:
Zip Code:
Phone:
Fax:
E-mail
:
How did you hear about this program?
--Please select one--
Direct mail invitation
Invitation bagged with The Clinical Advisor
Invitation bagged with The Journal of the American Academy of Physician Assistants
Invitation received from NPWH
Invitation received from NPACE
Email from Boston University School of Medicine
Email from Monthly Prescribing Reference
Ad on The Clinical Advisor website
Ad on The Journal of the American Academy of Physician Assistants website
Ad in The Clinical Advisor
CME Spotlight from Monthly Prescribing Reference e-newsletter
From a colleague
Other (please specify)
If you selected "other", please specify: