SUN DAYS Patient Safety Workshop: September

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Your Name and Contact Information* This field is required.
First Name
Last Name
Email Address
Title/Role
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Please Select
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No
Are you the primary decision maker at your facility?
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Facility Name and Location* This field is required.
Hospital/Facility Name
City
State
Country
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Workshop LogisticsPlease select the Sun Nuclear Representative(s) who invited you to attend SUN DAYS
Please Select
Caden Geier
Christopher Montgomery
Claudia Cain
Doug Devine
Doug Schroeder
Erik Suokas
Jerret Giammichele
Kim Bond
Lizzie Irvin
Nathan Pell
Tom Mullins
Sean Reed
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How will you attend this event?* This field is required.
In person at SNC's Global Training Center in Melbourne, Florida
Online
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Are you seeking CE Credits?* This field is required.
YESNO
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Mobile Phone - Please include country code* This field is required.
In case of urgent communication during workshop
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Do you have any dietary restrictions we should be aware of for medical or allergy-related reasons?* This field is required.
YESNO
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Food Allergy Needs* This field is required.So we can best accommodate your needs, please mark N/A if you do not have any Food Allergies.
Not Applicable
Dairy
Egg
Fish
Peanuts
Tree Nuts
Sesame
Shellfish
Soy
Wheat
Other
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Please describe any specific topics you would like to discuss or learn more about during your visit.
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What are the biggest challenges you now face or will face in the coming 1-2 years in doing your job?
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What QA should you be doing now, but time constraints do not allow you to do as often as you wish?
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If you could spend a one-year sabbatical with Sun Nuclear, and had authority to create one product or significantly enhance an existing product, what would that be and why?
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Is anyone in your clinic directly involved in Radiopharmaceutical Therapy? If so, how many patients are treated with RPT in your clinic?
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What QA tools do you use for pre-treatment Stereotactic QA? What QA tools do you see as most relevant for pre-treatment stereotactic QA?
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What QA would you never trust to a LINAC/TPS manufacturer?
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What QA tools do you use to quantify the impact of positional errors?
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How many linacs do you have?
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What vendor / type are they?
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If you could make a change to a Sun Nuclear product, what would you do?
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If you had a choice of additional topics to learn about, which would be the most important to you?
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CyberKnife
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MR Linac
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Health Physics
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Diagnostic/Imaging QA
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Motion Management
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Motion Management
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Please confirm your participation in the following:
Dinner - Thursday, September 11
Dinner - Friday, September 12
Advanced 'Hands on' Session - Saturday, September 13
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By submitting this form I am agreeing to the following Media Policy:Registration and attendance at, or participation in, the Sun Nuclear (Mirion) events constitutes an agreement by the registrant to permit Mirion’s use and distribution of the registrant’s image or voice in photographs, videotapes, electronic reproductions, and audiotapes of such events. With regard to attendees from outside the United States, Mirion will take photos and videos at this event and use them for promotional purposes on Mirion’s website and social media accounts including Twitter and LinkedIn. Mirion Technologies, Inc. and some of its agents, contracts and service providers are based in the United States, a country with respect to which the European Commission has not issued an unlimited adequacy decision. The transfer of photos and videos to the United States is necessary because Mirion Technologies, Inc. is located in the United States and based on intercompany agreements that include the Standard Contractual Clauses, which are available upon request by contacting privacy@mirion.com . We will process photos and videos from our events on our website and social media accounts until the content is replaced by more recent content and then in our company records for archival purposes. Photos and videos taken at our events, but not used for promotional purposes following them, will be deleted as provided by the Mirion Data Retention Policy. Subject to any limitations under applicable law, residents of the European Economic Area have a right to request access to and rectification or erasure of their personal data, restriction of processing, data portability, as well as a right to lodge a complaint with a supervisory authority. If you have questions about this notice, or wish to exercise your data subject rights, please address your request to the European Privacy Officer at privacy@mirion.com .
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