GEST MSK 2026 – Guest Registration Form GEST MSK 2026 – Guest Registration Form https://form.comnco.net/wp-content/themes/movedo/images/empty/thumbnail.jpg 150 150 Com&Co Form Com&Co Form 14 octobre 2025 14 octobre 2025 GEST MSK 2026 - Guest Registration Form « * » indique les champs nécessaires X/TwitterCe champ n’est utilisé qu’à des fins de validation et devrait rester inchangé.Family name*First name*E-mail adress*Cell phone number*Cell phone number (only) Please indicate in front of your phone number, the country dialling code of your country.Affiliated Medical Center*Country*City*REGISTRATIONI register as :* Interventional Radiologist Rheumatologist Orthopedic surgeon Sports medicine specialist Physical readaptation specialist Kinesitherapist Osteopath I am :* Physician Fellow Chef de clinique-Assistant Intern Paramed Nurse or Technician N° RPPS (only for french physician/paramedic)*If you do not have an RPPS number, please note in this section "N/A". Did you attend a prior GEST MSK meeting ?* GEST MSK 2023 GEST MSK 2024 GEST MSK 2025 GEST ANNUAL No Do you currently perform MSK embolization?* Yes No How will the number of patients that you embolize change in the coming year?* Increase Decrease Stay the same Please Specify*GAE post TKR - Please indicate how many times you have done this procedure until now:* Less than 5 cases 5-9 cases More than 10 cases Painfull shoulder - Please indicate how many times you have done this procedure until now :* Less than 5 cases 5-9 cases More than 10 cases Epicondylitis - Please indicate how many times you have done this procedure until now :* Less than 5 cases 5-9 cases More than 10 cases Based on what you know, which of the following companies have products or will be introducing products for embolotherapy in MSK in the next year ?* Guerbet Merit Medical Terumo Boston Scientific Cook Medical Varian Other, please specify Other (please specify)*What embolic material(s) have you been using?* Embosphere Embozene Lipiodol emulsion Imipenem-cilastatin Other, please specify Other (please specify)*What embolic material(s) would you like to use in the coming year?* Embosphere Embozene Lipiodol emulsion Imipenem-cilastatin Other, please specify Other (please specify)*What is the main limitation for you to start/grow your practice?* Not confident enough Not enough evidence No referral by rheumatologist/orthopedic No access to an embolic in which I am confident Not convinced that this will work Other, please specify Other (please specify)*In what ways can we help you in overcoming the limitation you mentioned?*How knowledgeable would you say you are about performing MSK procedures?* I'm a newbie More to learn I'm an expert How would you like to learn more about MSK procedures? Check all that apply.* An MSK Online Community In-depth, interactive webinars on MSK MSK focused In-person meeting Visit an expert center and attend cases A certificate program to build your practice Do you have access to Imipenem Cilastatin?* Yes No How long have you been a practicing physician?* Under 5 years 6-10 years 11-15 years 16-20 years >20 years In what country do you practice?*AfghanistanAfrique du SudAlbanieAlgérieAllemagneAndorreAngolaAnguillaAntarctiqueAntigua-et-BarbudaArabie SaouditeArgentineArménieArubaAustralieAutricheAzerbaïdjanBahamasBahreïnBangladeshBelarusBelgiqueBelizeBermudesBhoutanBolivieBonaire, Saint-Eustache et SabaBosnie-HerzégovineBotswanaBrunei DarussalamBrésilBulgarieBurkina FasoBurundiBéninCambodgeCamerounCanadaCap-VertChiliChineChypreColombieComoresCongoCorée (République de)Corée (République populaire démocratique de)Costa RicaCroatieCubaCuraçaoCôte d’IvoireDanemarkDjiboutiDominiqueEspagneEstonieEswatiniFidjiFinlandeFranceFédération RusseGabonGambieGhanaGibraltarGrenadeGroenlandGrèceGuadeloupeGuamGuatemalaGuernseyGuinéeGuinée équatorialeGuinée-BissauGuyaneGuyaneGéorgieGéorgie du Sud et Îles Sandwich du SudHaïtiHondurasHong KongHongrieIndeIndonésieIrakIranIrlandeIslandeIsraëlItalieJamaïqueJaponJerseyJordanieKazakhstanKenyaKirghizistanKiribatiKoweïtLa BarbadeLa RéunionLesothoLettonieLibanLiberiaLibyeLiechtensteinLituanieLuxembourgMacaoMacédoine du NordMadagascarMalaisieMalawiMaldivesMaliMalteMarocMartiniqueMauritanieMayotteMexiqueMicronésieMoldavieMonacoMongolieMontserratMonténégroMozambiqueMyanmarNamibieNauruNicaraguaNigerNigériaNiuéNorvègeNouvelle-CalédonieNouvelle-ZélandeNépalOmanOugandaOuzbékistanPakistanPalauPanamaPapouasie-Nouvelle-GuinéeParaguayPays-BasPhilippinesPolognePolynésie françaisePorto RicoPortugalPérouQatarRoumanieRoyaume-UniRwandaRépublique DominicaineRépublique TchèqueRépublique arabe syrienneRépublique centrafricaineRépublique démocratique du CongoRépublique démocratique populaire du LaosSahara occidentalSaint BarthélemySaint MartinSaint Pierre et MiquelonSaint-Christophe-et-NevisSaint-MarinSaint-SiègeSaint-Vincent-et-les GrenadinesSainte-Hélène, Ascension et Tristan da CunhaSainte-LucieSalvadorSamoaSamoa américainesSao Tomé et PrincipeSerbieSeychellesSierra LeoneSingapourSint MaartenSlovaquieSlovénieSomalieSoudanSoudan du SudSri LankaSuisseSurinameSuèdeSénégalTadjikistanTanzanie (République-Unie de)TaïwanTchadTerres Australes FrançaisesTerritoire britannique de l’océan IndienThaïlandeTimor orientalTogoTokelauTongaTrinité et TobagoTunisieTurkménistanTurquieTuvaluUkraineUruguayVanuatuVenezuelaVietnamWallis et FutunaYémenZambieZimbabweÉgypteÉmirats arabes unisÉquateurÉrythréeÉtat palestinienÉtats-UnisÉthiopieÎle BouvetÎle ChristmasÎle MauriceÎle NorfolkÎle de ManÎles CaymanÎles CocosÎles CookÎles FalklandÎles FéroéÎles Heard et McDonaldÎles Mariannes du NordÎles MarshallÎles PitcairnÎles SalomonÎles Turques et CaïquesÎles Vierges américainesÎles Vierges britanniquesÎles de Svalbard et Jan MayenÎles mineures américainesÎles ÅlandWhat is your area of specialty* Interventional Radiology Other, please specify Other (please specify)*What is your practice setting?* Academic Private Practice VA/Government For profit hospital/health system Not for profit hospital/health system Other, please specify Other, please specify* GDPR I agree that my personal data may be shared with the industrial partners participating in the event and only for professional purposes.GDPR* I certify that I am a healthcare professionnal*GDPR* By clicking on ‘Send’, you acknowledge that you have read our Privacy Policy and consent to the processing of your personal data by COM&CO EVENTS, in accordance with the said Policy, in order to respond as effectively as possible to your registration request. Δ CONTACTMrs Lalou GUILLON for GEST MSK Registration registration@gestmsk.com