Join the community
*
1.
What is your name?
(Required.)
2.
What is your email address?
*
3.
Type of Healthcare provider
(Required.)
Family Medicine
Family Medicine with paediatric focus
General Practice
General Practice with paediatric focus
Paediatrics
Paediatric Specialty
Public Health
Other
*
4.
Years of practice
(Required.)
0-5
6-10
11-15
16-20
21-25
25 +
5.
Primary work environment
Private Practice
Primary Care
Children's Hospital
General Hospital
University
Other
*
6.
Would you like to join the Excellence in Pediatrics Community? Improvement in pediatrics always comes through collaboration and exchange. Become member of the Excellence in Pediatrics Community, connect with your colleagues, share knowledge, ideas and practices that help improve children's health globally. It is free
(Required.)
Yes
No
*
7.
Tell us how you could contribute to our mission:
(Required.)
By participating in working groups
By offering insights on the practice in your country
By becoming tutor or speaker for eLearnings courses and meetings
By contributing your work and surveillance data
Do not have time but would like to join the community to receive information on activities
Other (please specify)
8.
Would you like to join one or more of the Special Interest Groups of the community?
Special Interest Group on Rare Diseases
Special Interest Group on HPV Vaccinations
Special Interest Group on Meningitis
Special Interest Group on Influenza
Special Interest Group on Infant Skin Care
Special Interest Group on Physical Activity, Obesity and Healthy lifestyles