Non-Technical Skills for Surgeons (NOTSS) Course Registration

Tues, Oct 27 - Attendings & Staff

Wed, Oct 28 - Residents & Fellows

Please fill out the form to register for the NOTSS Course

First Name(s)*

Last Name(s)*

Degree(s)

(e.g., MD, DO, PhD)

Which of the following best describes your current role?*

Other Role:

Preferred Email*

Primary Specialty*

Other Specialty

Institution/Hospital Affiliation*

MGH, BWH, MEE, Spaulding, Faulker, Community Health Centers, etc.

Best Contact Cell Phone Number*

Assistant Name and Phone (for scheduling/urgent contact)

Dietary Restrictions/Allergies (we should be aware of for provided meals/refreshments)*

If applicable, list allergies and/or dietary restrictions here: