eContour Travel Award Application
Earn a $625 travel award for the ACRO Annual Meeting.
First Name
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Last Name
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Email Address
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Current training program or medical school
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PGY
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How did you learn about this award?
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Disease Site/ Subsite
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Stage of Disease (specifically TNM and group staging)
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One line description of case history (must include age, gender, and pathology at minimum)
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List the references of protocols/atlases/guidelines that contours are based on (at minimum 1)
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Provide link(s) to peer-reviewed articles supporting your treatment paradigm (at minimum 1)
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List the fused diagnostic images used, if applicable
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Does your RT structure set reflect the nomenclature of The Report of AAPM Task Group 263?
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Please specify treatment technique, dose/fractionation, and simulation specifications
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Please specify details regarding target volumes (GTV, CTV, PTV) and OARS (as required)
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Please specify any clinical pearls you wish to highlight (e.g. dose constraints or contouring advice with appropriate references)
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Please tell us why your case adds value to the eContour website
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Name of faculty reviewer/ mentor
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Have contours been reviewed by the faculty reviewer/mentor?
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Upload your CV Here
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Letter of support from Radiation Oncology faculty reviewer / mentor
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I confirm that I will be available, at a minimum, by email, in late 2024 and 2025 for timely review of the submitted case with the eContour team as well as the case expert reviewer(s).
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