Welcome to the American Society of Osteoporosis Providers (ASOP) Proof-of-Concept Education Trial application!

Our trial aims to evaluate and enhance the effectiveness of educational content designed to meet the diverse needs of our learners. By filling out this application, you will help us identify the most suitable track for your participation, ensuring a tailored experience that maximizes your learning potential. Your insights and feedback will be invaluable as we work together to shape the future of education.

Name

First Name

Last Name

Age

Gender

Professional Degree

Specialty Education

How Long Have You Been in Practice?

How would you describe your practice or specialty business?

Do you routinely see patients in your current practice? (Y/N)

How Many Patients Do You See On An Average Week?

Youngest Patient You Routinely See In Your Practice?

Oldest Patient You Routinely See In Your Practice?

Do you currently engage in: (Check all that apply)

Primary osteoporosis management for WOMEN

Primary osteoporosis management for MEN 2

Secondary osteoporosis management (Fracture Liaison services/Post fracture care)

Interpret bone density testing

Bone health pre-operative bone risk assessments

Initial evaluation of OBH, then refer out for treatment

Initial evaluation of OBH and Long Term Patient Management

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I acknowledge that if accepted as a participant, I will be expected to maintain confidentiality regarding the contents of this study and will be held accountable for adhering to the information outlined in this syllabus. Any sharing of the information contained herein will result in disqualification from future test eligibility. Furthermore, no copying or reproduction of this syllabus is permitted without the express written permission of the American Society of Osteoporosis Providers.