GET UP – Congress 2023

Welcome to the registration for GET UP 2023!

We kindly ask you to enter all requested information because we can only consider complete applications in the selection process.

Please note that you will need to upload certain documents such as the proof of status confirming your end of residency training, list of PubMed articles, and/or course certificates.

We would also like to ask you to use a valid email address. We will send a confirmation of your application and all further communication to the email address provided by you.

Please register until 31.01.2023!

Event Information:

GET UP 2023

Arrival date: Tuesday, April 18^th, 2023 (Individual arrival at the hotel. No assumption of travel costs)

Start date: Wednesday, April 19^th, 2023 at 08:00 a.m.

Meet in the hotel lobby & walk to the course venue

End date: Saturday, April 22^nd, 2023*

Training venue: Università Cattolica del Sacro Cuore, Centro Congressi, Largo Francesco Vito 1, Rome, Italy, (on the map)

Registration for GET UP 2023 *

I would like to apply

I would like to cancel my application

*Are you having a membership of the ESGE? *

Yes, I have

No, I have not

*Are you interested in doing the GESEA certification? *

Yes (the costs of the Diploma are 300 € net, that have to be fully paid by the participant)

No (the official GET UP will end on Saturday after lunch at around 2:10 p.m.)

Personal Data

Salutation *

Title *

Name of others *

First name *

Last name *

Nationality (Country) *

Others

Name of hospital *

Hospital address

Street & No. *

Postcode *

City *

State/Province

Country *

According to the Decree No. 2020-730, published in France on June 17, 2020 in the Official Journal, into force since October 1, 2020, Med Tech industry has restrictions on the transfer of values to students from medical and pharmaceutical fields.

Mobile phone *

Email address *

Date of birth *

Others

Requirements

Date when resident training ends or ended *

English skills *

Rejected as participant for the last Get Up? *

Yes

No

Additional Qualification

To increase the probability of selection it is important that you submit truthfully those criteria that are applicable to you. Please note that you need to upload the confirmation materials, which eventually may be checked.

Evidence of endoscopic interest

Membership of (inter)national society of endoscopy (e.g. ESGE/AAGL/MESGE/ISGE)

Number of publications in the endoscopic field (PubMed)

Followed endoscopic course in the past

Please fill in your number of publications *

Uploads

Please note that you will need to upload certain documents such as the Proof of Status (confirming your end of residency training) list of PubMed articles and/or course certificates.

Please upload a Proof of Status confirming end of residency training by head of department or head of residency training (only valid with signature AND stamp) *

If you are member of a society of endoscopy, please upload a proof of your membership *

If you published articles, please upload the list in Vancouver style *

If you followed an endoscopic course in the past, please upload your participant’s certificate *

Data Protection and Terms and Conditions

Herewith I confirm that I have read the data protection and general terms and conditions and accept them. *

Yes, I confirm.

All fields marked with an asterisk (*) must be completed.