FELLOWS

The conference registration fee is $TBD for FIRST YEAR Pediatric Emergency Medicine fellows on a limited enrollment basis. Registration is being limited to ensure small groups for maximum hands-on opportunities. The registration fee covers 2 full days of skills workshops and high-fidelity simulation exercises.

NURSES

The conference registration fee is $TBD for nurses on a limited enrollment basis. Registration is being limited to ensure small groups for maximum hands-on opportunities. The registration fee covers 2 full days of skills workshops and high-fidelity simulation exercises. Successful completion of BASE Camp will earn 16 CNE contact hours for nurses. See BASE Camp Overview for CNE Accreditation Statement. 

Complimentary breakfast and lunch is provided for all attendees

REGISTER BELOW

DEADLINE: Registration WILL OPEN IN SUMMER 2017

First Name:*
Last Name:*
E-mail:*
Confirm E-mail:*
Title:*
If MD, DO, or MBBS, please select your year of fellowship training:
Institution Affiliation:*
Cellphone:*
-
Special Meal Options:
If you require special accommodations, please describe below:
Accepted participants will receive a BASE Camp T-shirt! - please provide your size:*
Yes, I consent to be in photos, videos, and audio clips taken during BASE Camp. These photos and videos are important for BASE Camp to publicize our efforts and grow (for more details about our photo, video, and audio recording policy, please see link at the page bottom)*
FELLOWS: What kind of residency training did you graduate from?
FELLOWS: Have you ever worked as an attending physician any time before or during your PEM fellowship?
NURSES: Do you currently work in a:
NURSES: How many years of experience do you have working in a Pediatric Emergency Department?
FELLOWS & NURSES: Does your hospital utilize simulation training? *
FELLOWS & NURSES: If YES, how often do you participate in simulation exercises? *

For details on the media consent, see: http://pembasecamp.org/media-consent