Mayneord–Phillips Educational Programme (MPEP): AI in Imaging and Treatment Planning 2024 - Application form

Eligibility

The Mayneord-Phillips Educational Programme (MPEP) is aimed at early career professionals. 'Early career' is normally defined as being within the first 10 years of your career. If you are unsure of your eligibility for this course, please email training@ipem.ac.uk for advice.

Consent for storing submitted data *

Yes, I give permission to store and process my data

If paying by card, you are required to pay immediately after completing this form. Please tick here to indicate that you understand. *

Please tick to indicate that you understand.

First Name *

Last Name *

Job title *

Department *

Organisation *

Work Address 1 *

Work Address 2

Work Address 3

Work Town/City *

Work County/State

Work Postcode *

Country *

Email Address *

Where possible, please supply a work email address

Contact phone *

Please state if you hold membership to any of the following: *

IPEM

IOP

BIR

None of the above

IPEM Membership number *

If you are not an IPEM Member, please write N/A

Please advise us of any access requirements you may have.

For example, on screen captions, enhanced text on printed or electronic documentation, hearing loop or ground floor access for in person meetings etc.

Please confirm your current position (Current job title and/or education level studying at): *

Please confirm your subject area: *

Imaging

Radiotherapy

How confident are you in your understanding of AI: *

Very confident

Confident

Neutral

Unsure

Please upload a brief summary of your education and work experience to date (no more than 500 words): *

(in PDF, DOCX or JPEG format)

Please upload a brief overview of the benefit to you of attending MPEP 2024: AI in Imaging and Treatment Planning (no more than 500 words): *

(in PDF, DOCX or JPEG format)

You may list up to three questions about AI in Imaging & Treatment planning which will be addressed at the training.

I understand and commit to also attending a short follow up session on Zoom on 11th March 2025, and the UK Imaging and Oncology conference held in Liverpool, UK, 2nd-4th June 2025. I understand and acknowledge that I will be expected to cover my own expenses and attendance costs for the UK Imaging and Oncology conference. Please tick. *