Japanese Orthopaedic Society
FOR SONOSURGERY

Application

Recommendation required

Membership requires the recommendation of a Steering Committee Member or a Member of the Society. Applications that do not name a recommender cannot be accepted. The secretariat will contact your recommender to confirm the recommendation.

Before applying, please read Membership, the Articles and the Regulations. If the Steering Committee approves your application, you become a Provisional Member. We will write to the e-mail address you give. The form takes about ten minutes.

Your recommender

Recommender’s nameRequired

Recommender’s institutionRequired

About you

NameRequired

Name in JapaneseOptional

E-mailRequired

Medical school: regionRequired

Medical school

Year of graduationRequired

Year of medical registration in JapanRequired

University department: regionOptional

University department of orthopaedicsIf you belong to, or came from, a university department

High school: regionOptional

Prefecture of high schoolHelps us understand connections between members

Name of high schoolOptional

Institution and qualifications

InstitutionRequired

PrefectureRequired

Type of institutionRequired

PositionRequired

Board-certified by the Japanese Orthopaedic AssociationRequired

Member of the Japanese Society of Orthopaedic Ultrasonics (JASOU)Required

Ultrasound and surgical experience

Years of musculoskeletal ultrasound useRequired

Highest frequency of linear probe availableRequired

Ultrasound-guided procedures you have performedRequired

Joint aspiration and diagnosis Blocks and injections Interventions including percutaneous release

Ultrasound-guided operations per year (approx.)Required

Related presentations and papersOptional

The Society’s purpose

A verified medical technique deserves a valuation commensurate with its worth; that value should be reinvested in the next technical development and in better equipment, and the benefit should return, in the end, to patients. The Society exists to help create this virtuous cycle.

I agree with the purpose stated above.

I have read the Articles and Regulations.

What you hope to work on in the Society, and why you are applyingRequired

For example: procedures you want to learn, plans to introduce them at your institution, how you would contribute to case registration or multi-centre research, or experience you would like to share. A few lines are enough.

Participation

I understand that case registration is an obligation of members (Article 11-2) and agree to register my cases in the Society’s multi-institutional registry.

Can you use a research ethics committee at your institution?Required

Would you like to present at seminars?Required

Declarations

Conflicts of interest (fees, research funding or shareholdings from device companies, etc.)Required

If yes, please give detailsOnly if applicable

I understand that on approval by the Steering Committee I become a Provisional Member, that I may attend no more than two hands-on seminars during provisional membership, and that provisional membership lapses if I do not obtain completion within that period.

I understand that the information I give will be used only for reviewing my application, keeping the membership list and contacting me, and will not be given to third parties, including supporting organisations.