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Criteria for IEF Members

1. The center must be officially supported by and affiliated with a tertiary hospital, which has 24-hr ER department and ICU.

2. The superintendent or director of the affiliated hospital need to offer a formal commitment letter supporting the center to join IEF.

3. The center must offer multidisciplinary care, a support group and plan for 5-year follow-up database for patients

4. The center must be fully equipped with laparoscopic and bariatric equipment.

5. The center must have done at least 50 cases of laparoscopic surgery and 20 cases of bariatric surgery when applying membership.

6. The center must complete education programs of IEF and adhere to rights and responsibilities as an IEF member.



Application
Contact Information
Name
Title / Program Position
City  
State / Province / Region  
Country  
Email  
Phone Number  
The time you prefer us to contact you  
Facility Information
The Leader of your surgeons
Name of Center
Name of Hospital  
City  
State/Province/Region  
Country  
Number of surgeons  
Types of surgery you are doing  
Annual amount of surgery  
Total amount of surgery  
Criteria for Membership
1.Is your center officially supported by and affiliated with a tertiary hospital, which has 24-hr ER department and ICU?
Yes
No, please identify your situation
2.Does your center have a group consists of surgeon, case manager, dietitian, physiologist, and fitness coach in your center? If not, which part of the group are you missing?
Yes
No, please identify your situation
3.Does your center have the plan for 5-year follow-up database for patients?
Yes
No, please identify your situation
4.Is your center fully-equipped with laparoscopic and bariatric equipments?
Yes
No, please identify your situation
5.Has your center done at least 50 cases of laparoscopic surgery and 20 cases of bariatric surgery?
Yes
No, please identify your situation
6.Does your center complete the IEF education program and be aware of IEF members' rights and responsibilities.
Yes
No, please identify your situation
Date:
Signature:
Please complete this form and send back via email. If you have any question filling up this form, please contact with the executive secretary of IEF – Po-Chih Chang, MD. Contact number: +886-7-615-0011 ext 5266 (Please call between 9am~5pm, GMT+8)
E-mail: asiaief@hotmail.com