Join the Louisiana YFA
Name
*
First Name
Last Name
Suffix
Degree
*
MD
DO
MD, FACS
DO, FACS
Institution or Practice Name
Email
example@example.com
Cell Phone Number
-
Area Code
Phone Number
Membership Type
Active
Associate
Your Discipline
General Surgery
Trauma/Critical Care
Breast Surgery
Vascular Surgery
Transplant Surgery
Thoracic Surgery
Cardiac Surgery
Otorhinolaryngology
Orthopedic Surgery
Urology
Pediatric Surgery
Colorectal Surgery
Surgical Oncology
Plastic Surgery
Minimally Invasive/Bariatric
Practice Type
Academic
Private Practice
Community Hospital Employed
Mixed Model
Your Interest
Get Involved! (choose as many as you like)
*
Advocacy
Program Committee
Chapter Liaison
Diversity Committee
Quality Committee
Commission on Cancer
Social Media
Mock Orals
Submit
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