Nice to Meet You! Please share more about yourself so that we can get to know you better. Name * First Name Last Name Email * Please enter your email to receive your registration code & course notifications via email. Phone Optional: If you prefer to receive the course registration code & course notifications via Whatsapp, please enter you phone number. Training Year * PGY 1 PGY 2 PGY 3 GP (General Practitioner) Guest Hospital * Hôpital de l'Université d'Etat d'Haïti (HUEH) Hôpital Universitaire Justinien (HUJ) Hôpital Universitaire de Mirebalais (HUM) Hôpital Universitaire la Paix (HUP) Hôpital Saint Nicolas de Saint-Marc (HSN) N/A Training Program * Internal Medicine Family Medicine Pediatrics OB-GYN Other Emergency Medicine N/A Thank you for registering! We will be in touch shortly, once we’ve evaluated your submission.