REGISTER MEMBERSHIP REGISTRATION Please complete the data below. *fields are required. First Name* Last Name* E-mail* Confirm E-mail Phone* Password* Confirm Password Degree* MD PhD DO Other Comment if "other" Specialty* Select Specialty Anesthesiology Cardiology Clinical Immunology/Allergy Critical Care Medicine Dentistry Dermatology Diagnostic Radiology Emergency Medicine Endocrinology and Metabolism Family Practice Gastroenterology/Hepatology General Internal Medicine General Surgery Geriatric Medicine Hematology/Oncology Hepatology Medical Genetics Infectious Disease Internal Medicine Nephrology Neurology Neurosurgery Nuclear medicine Obstetrics / Gynecology Occupational Medicine Oncology Ophthalmology Orthopedic Surgery Otolaryngology Pain Control Pathology Pharmacy Pediatrics Physical Medicine and Rehabilitation Plastic Surgery Psychiatry Public Health and Preventive Medicine Radiation Oncology Radiology Rheumatology Surgery Transplant Urgent Care Urology Other Employer Name* Practice State* Select State Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Minor Outlying Islands Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas U.S. Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other Country Membership Description:非洲和海地义医团队 and ANACP Mentors, discount is offered. Please contact us for Coupon Code.Lifetime Member - $500. For North American certified physicians onlyAnnual Full member - annual membership - $100. For North American certified physicians onlyTrainee member annual membership - $25. For residents and fellows in trainingJunior member annual membership - $25 (ECFMG certified, in the process of residency matching), For non-physicians health care workers, you may register as Associated Members. Please contact us at support@anacp.org. Membership Type* Lifetime Member - 500 USD for LifetimeFull Member - 100 USD per 1 year - for 1 time. Trainee Member - 25 USD per 1 year - for 1 time. Junior Member - 25 USD per 1 year - for 1 time. Expected Graduation Year (Required only for trainee registration) The following are not required fields. Chinese Name Would you like to join ANACP member WeChat Group? Yes No Not applicable Medical School Employer Address, City, State, Zip Interest in Position in ANACP Executive Committee Education Committee Membership/Website Committee Finance Committee Advocacy Committee Coupon Code Log in | Lost your password?
