2025 ACP Ontario Chapter Doctor’s Dilemma Competition Sign Up
May 31 | ACP Ontario Chapter Annual Meeting at McMaster Annual Conference in Hospital Medicine 2025 | Delta Hotel Toronto Airport and Conference Centre, 655 Dixon Road, Toronto, Ontario
Are you registering to be:
Please Select
A Competing Team
An individual observer - ACP Member
An individual observer - Non ACP Member
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Attendee/Observer Registration
Attendee/Observer Name
First Name
Last Name
Attendee/Observer ACP Number (if known)
Attendee/Observer Email
*
example@example.com
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Competition Team Registration - Overview
Please complete all information for your team of 3!
What Residency Program are you registering on behalf of?
Please Select
Legacy Health System
Legacy Health System Salmon Creek
Providence Portland Medical Center
Samaritan Health
Oregon Health & Science University
Providence St. Vincent Medical Center
Oregon Health & Science University Hillsboro
Point of Contact Name (usually Program Director or Chief Resident - this is NOT one of your competitor registrations)
First Name
Last Name
Point of Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Point of Contact Email
*
example@example.com
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Competition Team Registration
Please provide details for all three teammates that will be competing
Teammate #1 Name
*
First Name
Last Name
Teammate #1 ACP Number
*
Teammate #1 Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Teammate #1 Email
*
example@example.com
Teammate #2 Name
*
First Name
Last Name
Teammate #2 ACP Number
*
Teammate #2 Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Teammate #2 Email
*
example@example.com
Teammate #3 Name
*
First Name
Last Name
Teammate #3 ACP Number
*
Teammate #3 Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Teammate #3 Email
*
example@example.com
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Do you have any needs that require accommodation?
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