USTMAConnect

Urgent support is available with a 24-hour response goal. Intake is monitored 24/7, but USTMAConnect is not an emergency service and cannot guarantee that a response will arrive before urgent treatment decisions are required. If a patient is unstable, use established hospital emergency pathways and contact the appropriate on-call specialist.

Fields marked with a red are required.

1. How would you like to participate?

Choose the pathway that best matches your request.

Request type

URGENT: Request physician-to-physician case supportMonitored 24/7 with a response goal within 24 hours. Not an emergency service.Present a de-identified case at a monthly sessionVolunteer as an expert panelistAttend as a physician observer

2. Physician information

Attendance is limited to physicians and approved physician-researchers participating in a professional capacity.

First nameLast nameCredentialsSpecialtyInstitutionDepartment or divisionCountryProfessional emailProfessional phonePreferred meeting timingAvailability or scheduling notes

6. Disclosures and acknowledgments

These acknowledgments support the peer-to-peer educational purpose described in the planning meeting.

Relevant financial or professional conflicts

I confirm that I am a physician or approved physician-researcher participating in a professional capacity.I understand that panel comments reflect academic discussion, shared experience, and best-practice exchange—not direct medical advice or a physician-patient consultation.I understand that the session may be recorded and summarized for restricted internal reference. I will not record, redistribute, or share meeting content without USTMA authorization.

Electronic signature

USTMAConnect

1. How would you like to participate?

2. Physician information

Urgent request: response goal within 24 hours

3. De-identified case classification

4. De-identified clinical summary

5. Management history and panel questions

6. Disclosures and acknowledgments