REGISTRATION FORM

If you have attended a previous UMEM Conference, you will need to make sure you are logged in with your website account before registering for this course. If you have forgotten your password, you can reset it using the link under the login form.

A reminder that your username is the email address you used to register for previous UMEM events.

CME: CME information.

Registration Pricing & Information:

$400 for physicians
$200 for allied health professionals
$50 for residents/medical students/EMTs/Active Military

Discounts:

Register for both days, get $50 off! Early bird discount of 10% off is available until October 31st Discounts available for residency programs.

Email umem.conferences@som.umaryland.edu

If you did not attend a prior UMEM conference (eg, The Crashing Patient 2020-2024, Emergency Cardiology Symposium 2021-2025 or Critical Care Symposium 2021-2025 please skip this login section. You will be asked to set a username and password in the below form.

If you have attended any previous conferences between 2020-2025, you should have a log in. Therefore, please complete the below log in information. If you have questions, contact us at umem.conferences@som.umaryland.edu.

"*" indicates required fields

Name*

First Last

Email*

Enter Email (This will be your USERNAME used for log-in) Confirm Email

Phone Number

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Credentials*

Please check all that apply.

Military Service

Are you an active member of the military?*

Active Military: You can register for the $50/day rate. Please select Medical Students/Residents/Fellows/EMTs/Active Military when asked your Registration Category below.

If yes, please tell us what branch:

Organization Information

Hospital/School/Company/Organization Name*

Hospital/School/Company/Organization Location*

City State / Province / Region Country

Registration Information

Registration Category*

Required to determine registration pricing.

Physician Conference Registration

Price:

PA, NP, RN, CRNA Conference Registration

Price:

Medical Student/Resident/Fellow/EMTs/Active Military Conference Registration

Price:

This field is hidden when viewing the form

Conference Backend

This field is hidden when viewing the form

Date*

How did you hear about this conference?*

Please check all that apply.

Internet search

Twitter

Podcast

Referral

I have attended Conference in the past

Other

Would you like to receive emails about other University of Maryland Department of Emergency Medicine education events?*

Payment Information

International Participants: We have noticed that some people are having trouble with PayPal accepting payment. To enable international transactions on your Debit or Credit Card, Login to Netbanking > Cards > Credit/Debit Cards > Request > International Enable. For Debit cards –Login to Netbanking > Cards > Credit/Debit Cards > Request > International Enable. Paypal accepts payments from 200 countries (https://www.paypal.com/us/webapps/mpp/country-worldwide) if your country is not on the list please email dlucadamo@som.umaryland.edu to get additional help.

Coupon

Enter the code EBTCP2025 to receive 10% off prior to October 31.

Total

This field is hidden when viewing the form

Early Bird Backend

This field is hidden when viewing the form

User Logged in? (hidden)

Password*

Set a password to access the online portal

Enter Password Confirm Password

Billing Information

Total

Total to be charged to your account

Billing Address

This is the address listed on record for your credit card.

Same as Address Listed Above

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment Method

Questions?

Please contact

Doreen Lucadamo, CMP, DES, HMCC

Sr. Program Coordinator, Courses/Conferences

dlucadamo@som.umaryland.edu ♦ Phone: 443-562-8630

University of Maryland School of Medicine ♦ Department of Emergency Medicine

110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, MD 21201