DSATC 2023

Definitive Surgical and Anaesthetic Trauma Care Course 2023

I would like to register for course A on 7 & 8 November 2023 as:

Anaesthesiologist/intensivist (DATC) - € 2450,00 (7/10)

OR-Nurse - € 600,00 (0/2)

Nurse Anaesthetist - € 600,00 (0/5)

I would like to register for course B on 9 & 10 November 2023 as:

Anaesthesiologist/intensivist (DATC) - € 2450,00 (2/8)

OR-Nurse - € 600,00 (0/1)

Nurse Anaesthesist - € 600,00 (0/6)

If other, please fill here:

Position

Resident (AIOS)

Medical specialist

Other/ not applicable

Nurse

Start of anesthesiological training

Medical specialism *

Anaesthesiology

Intensive care

Other/ not applicable

Experience in trauma cases *

Less than 10 cases

Between 10-30 cases

More than 30 cases

Other/ not applicable

Dhr/Mw *

Titel

Voornaam *

Achternaam *

Land *

Postcode *

Huisnummer *

Straat *

Plaats *

Date of birth: *

E-mailadres *

Function

Organisation

Z-number (only for Radboudumc employees)

BIG nr. (in case you do not have a BIG nr please fill in zero) *

Food Allergy or Dietary Wishes

Would you like to join the dinner on day 1 of the course (included in the price) *

Yes

I agree with the general terms and conditions *

Totaal: € 0,00

Registration Form