{"id":5586,"date":"2022-03-23T12:22:52","date_gmt":"2022-03-23T16:22:52","guid":{"rendered":"https:\/\/med.virginia.edu\/gme\/?page_id=5586"},"modified":"2022-03-23T12:22:52","modified_gmt":"2022-03-23T16:22:52","slug":"incomingcoats","status":"publish","type":"page","link":"https:\/\/med.virginia.edu\/gme\/program-resources\/incomingcoats\/","title":{"rendered":"White Coat Order for Incoming"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use 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d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_78' ><form method='post' enctype='multipart\/form-data'  id='gform_78'  action='\/gme\/wp-json\/wp\/v2\/pages\/5586' data-formid='78' novalidate><div class='gf_invisible ginput_recaptchav3' data-sitekey='6LebeGYrAAAAAP5BASaCDpdLeg5wBa6YY3ZS7nZh' data-tabindex='0'><input id=\"input_658120780ff3f6ed384e3eff738201b0\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_658120780ff3f6ed384e3eff738201b0\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_78' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_78_7\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_78_7'><span class='gform-field-label__text'>LinkedIn<\/span><\/label><div class='ginput_container'><input name='input_7' id='input_78_7' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_78_7'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_78_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_78_1'>\n                            \n                            <span id='input_78_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_78_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_78_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            <span id='input_78_1_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.4' id='input_78_1_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_78_1_4' class='gform-field-label gform-field-label--type-sub '>Middle<\/label>\n                                                <\/span>\n                            <span id='input_78_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_78_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_78_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_78_2\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Credentials<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_78_2'><div class='gchoice gchoice_78_2_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.1' type='checkbox'  value='D.D.S.'  id='choice_78_2_1'   aria-describedby=\"gfield_description_78_2\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_1' id='label_78_2_1' class='gform-field-label gform-field-label--type-inline'>D.D.S.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.2' type='checkbox'  value='D.M.D.'  id='choice_78_2_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_2' id='label_78_2_2' class='gform-field-label gform-field-label--type-inline'>D.M.D.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.3' type='checkbox'  value='D.Min.'  id='choice_78_2_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_3' id='label_78_2_3' class='gform-field-label gform-field-label--type-inline'>D.Min.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.4' type='checkbox'  value='D.O.'  id='choice_78_2_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_4' id='label_78_2_4' class='gform-field-label gform-field-label--type-inline'>D.O.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.5' type='checkbox'  value='M.B. Ch.B.'  id='choice_78_2_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_5' id='label_78_2_5' class='gform-field-label gform-field-label--type-inline'>M.B. Ch.B.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.6' type='checkbox'  value='M.B.B.Ch.'  id='choice_78_2_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_6' id='label_78_2_6' class='gform-field-label gform-field-label--type-inline'>M.B.B.Ch.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.7' type='checkbox'  value='M.B.B.S.'  id='choice_78_2_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_7' id='label_78_2_7' class='gform-field-label gform-field-label--type-inline'>M.B.B.S.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.8' type='checkbox'  value='M.D.'  id='choice_78_2_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_8' id='label_78_2_8' class='gform-field-label gform-field-label--type-inline'>M.D.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.9' type='checkbox'  value='M.Div.'  id='choice_78_2_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_9' id='label_78_2_9' class='gform-field-label gform-field-label--type-inline'>M.Div.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.11' type='checkbox'  value='M.P.H.'  id='choice_78_2_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_11' id='label_78_2_11' class='gform-field-label gform-field-label--type-inline'>M.P.H.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.12' type='checkbox'  value='M.S.'  id='choice_78_2_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_12' id='label_78_2_12' class='gform-field-label gform-field-label--type-inline'>M.S.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.13' type='checkbox'  value='M.Sc.'  id='choice_78_2_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_13' id='label_78_2_13' class='gform-field-label gform-field-label--type-inline'>M.Sc.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.14' type='checkbox'  value='Ph.D.'  id='choice_78_2_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_14' id='label_78_2_14' class='gform-field-label gform-field-label--type-inline'>Ph.D.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.15' type='checkbox'  value='Pharm.D.'  id='choice_78_2_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_15' id='label_78_2_15' class='gform-field-label gform-field-label--type-inline'>Pharm.D.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_78_2_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_2.16' type='checkbox'  value='Psy.D'  id='choice_78_2_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_78_2_16' id='label_78_2_16' class='gform-field-label gform-field-label--type-inline'>Psy.D<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_78_2'>Please be aware that, per policy, we credential physicians according to the degree conferred by their medical school. For example, D.O. for Doctor of Osteopathy, M.D., Doctor of Medicine, M.B.B.S., Bachelor of Medicine, Bachelor of Surgery, etc. While all of these degrees use the prefix \u201cDr.\u201d the credentials you earned are the ones that must be used for identification purposes. We will not substitute \u201cMD\u201d for a trainee who has earned an \u201cMBBS\u201d degree.<\/div><\/fieldset><div id=\"field_78_3\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_78_3'><span class='gform-field-label__text'>Training Program<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_78_3' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select Program<\/option><option value='Adult Cardiothoracic Anesthesiology' >Adult Cardiothoracic Anesthesiology<\/option><option value='Adult Reconstructive Orthopaedics' >Adult Reconstructive Orthopaedics<\/option><option value='Advanced Heart Failure and Transplant Cardiology' >Advanced Heart Failure and Transplant Cardiology<\/option><option value='Allergy and Immunology' >Allergy and Immunology<\/option><option value='Anesthesiology' >Anesthesiology<\/option><option value='Blood Banking\/Transfusion Medicine' >Blood Banking\/Transfusion Medicine<\/option><option value='Cardiology - Cardiovascular Imaging' >Cardiology - Cardiovascular Imaging<\/option><option value='Cardiology - Interventional' >Cardiology - Interventional<\/option><option value='Cardiology - Structural Cardiology &amp; Cardiac Valve' >Cardiology - Structural Cardiology &amp; Cardiac Valve<\/option><option value='Cardiovascular Disease' >Cardiovascular Disease<\/option><option value='Chaplaincy' >Chaplaincy<\/option><option value='Child and Adolescent Psychiatry' >Child and Adolescent Psychiatry<\/option><option value='Child Neurology' >Child Neurology<\/option><option value='Clinical Cardiac Electrophysiology' >Clinical Cardiac Electrophysiology<\/option><option value='Clinical Informatics (Pediatrics)' >Clinical Informatics (Pediatrics)<\/option><option value='Clinical Neurophysiology' >Clinical Neurophysiology<\/option><option value='Consultation-Liaison Psychiatry' >Consultation-Liaison Psychiatry<\/option><option value='Critical Care Medicine (Anesthesiology)' >Critical Care Medicine (Anesthesiology)<\/option><option value='Cytopathology' >Cytopathology<\/option><option value='Dentistry' >Dentistry<\/option><option value='Dermatology' >Dermatology<\/option><option value='Dermatopathology (Multidisciplinary)' >Dermatopathology (Multidisciplinary)<\/option><option value='Developmental-Behavioral Pediatrics' >Developmental-Behavioral Pediatrics<\/option><option value='Emergency Medical Services' >Emergency Medical Services<\/option><option value='Emergency Medicine' >Emergency Medicine<\/option><option value='Endocrinology, Diabetes, and Metabolism' >Endocrinology, Diabetes, and Metabolism<\/option><option value='Epilepsy' >Epilepsy<\/option><option value='Family Medicine' >Family Medicine<\/option><option value='Forensic Psychiatry' >Forensic Psychiatry<\/option><option value='Gastroenterology' >Gastroenterology<\/option><option value='Geriatric Medicine (Internal Medicine)' >Geriatric Medicine (Internal Medicine)<\/option><option value='Geriatric Psychiatry' >Geriatric Psychiatry<\/option><option value='Gynecologic Oncology' >Gynecologic Oncology<\/option><option value='Hand Surgery (Orthopaedic Surgery)' >Hand Surgery (Orthopaedic Surgery)<\/option><option value='Hand surgery (Plastic surgery)' >Hand surgery (Plastic surgery)<\/option><option value='Hematology and Medical Oncology' >Hematology and Medical Oncology<\/option><option value='Hospice and Palliative Medicine (Multidisciplinary)' >Hospice and Palliative Medicine (Multidisciplinary)<\/option><option value='Infectious Diseases' >Infectious Diseases<\/option><option value='Internal Medicine' >Internal Medicine<\/option><option value='Interventional Radiology - Independent' >Interventional Radiology - Independent<\/option><option value='Interventional Radiology - Integrated' >Interventional Radiology - Integrated<\/option><option value='Laboratory Genetics and Genomics (Medical Related Specialty)' >Laboratory Genetics and Genomics (Medical Related Specialty)<\/option><option value='Maternal-Fetal Medicine' >Maternal-Fetal Medicine<\/option><option value='Medical Toxicology (Emergency Medicine)' >Medical Toxicology (Emergency Medicine)<\/option><option value='Micrographic Surgery and Dermatologic Oncology' >Micrographic Surgery and Dermatologic Oncology<\/option><option value='Neonatal-Perinatal Medicine' >Neonatal-Perinatal Medicine<\/option><option value='Nephrology' >Nephrology<\/option><option value='Nephrology - Transplant Nephrology' >Nephrology - Transplant Nephrology<\/option><option value='Neurocritical Care (Multidisciplinary)' >Neurocritical Care (Multidisciplinary)<\/option><option value='Neurological Surgery' >Neurological Surgery<\/option><option value='Neurology' >Neurology<\/option><option value='Neurology - Behavioral' >Neurology - Behavioral<\/option><option value='Neurology - Clinical Neuropsychology' >Neurology - Clinical Neuropsychology<\/option><option value='Neurology - Movement Disorders' >Neurology - Movement Disorders<\/option><option value='Neurology - Oncology' >Neurology - Oncology<\/option><option value='Neuromuscular Medicine (Neurology)' >Neuromuscular Medicine (Neurology)<\/option><option value='Neuropathology' >Neuropathology<\/option><option value='Neuroradiology' >Neuroradiology<\/option><option value='Neurosurgery - Cerebrovascular Neurosurgery' >Neurosurgery - Cerebrovascular Neurosurgery<\/option><option value='Neurosurgery - Endocrinology' >Neurosurgery - Endocrinology<\/option><option value='Neurosurgery - Endovascular' >Neurosurgery - Endovascular<\/option><option value='Neurosurgery - Neuro-Oncology' >Neurosurgery - Neuro-Oncology<\/option><option value='Neurosurgery - Neurosurgical Oncology' >Neurosurgery - Neurosurgical Oncology<\/option><option value='Neurosurgery - New Zealand' >Neurosurgery - New Zealand<\/option><option value='Neurosurgery - Spine' >Neurosurgery - Spine<\/option><option value='Neurotology' >Neurotology<\/option><option value='Nuclear Radiology' >Nuclear Radiology<\/option><option value='Obstetrics &amp; Gynecology' >Obstetrics &amp; Gynecology<\/option><option value='Ophthalmology' >Ophthalmology<\/option><option value='Orthopaedic Sports Medicine' >Orthopaedic Sports Medicine<\/option><option value='Orthopaedic Surgery' >Orthopaedic Surgery<\/option><option value='Orthopaedic Surgery - Foot and Ankle' >Orthopaedic Surgery - Foot and Ankle<\/option><option value='Orthopaedic Surgery - Pediatric Orthopaedics Non-Operative' >Orthopaedic Surgery - Pediatric Orthopaedics Non-Operative<\/option><option value='Orthopaedic Surgery of the Spine' >Orthopaedic Surgery of the Spine<\/option><option value='Otolaryngology - Facial Plastic &amp; Reconstructive Surgery' >Otolaryngology - Facial Plastic &amp; Reconstructive Surgery<\/option><option value='Otolaryngology - Head and Neck Surgery' >Otolaryngology - Head and Neck Surgery<\/option><option value='Pain Medicine (Multidisciplinary)' >Pain Medicine (Multidisciplinary)<\/option><option value='Pathology - Clinical Chemistry Fellowship' >Pathology - Clinical Chemistry Fellowship<\/option><option value='Pathology - Gynecologic' >Pathology - Gynecologic<\/option><option value='Pathology - Hematopathology' >Pathology - Hematopathology<\/option><option value='Pathology - Surgical Pathology' >Pathology - Surgical Pathology<\/option><option value='Pathology-Anatomic and Clinical' >Pathology-Anatomic and Clinical<\/option><option value='Pediatric Cardiology' >Pediatric Cardiology<\/option><option value='Pediatric Critical Care Medicine' >Pediatric Critical Care Medicine<\/option><option value='Pediatric Endocrinology' >Pediatric Endocrinology<\/option><option value='Pediatric Gastroenterology' >Pediatric Gastroenterology<\/option><option value='Pediatric Hematology\/Oncology' >Pediatric Hematology\/Oncology<\/option><option value='Pediatric Nephrology' >Pediatric Nephrology<\/option><option value='Pediatric Radiology' >Pediatric Radiology<\/option><option value='Pediatrics' >Pediatrics<\/option><option value='Pediatrics - Adult Congenital Heart Disease' >Pediatrics - Adult Congenital Heart Disease<\/option><option value='Pediatrics - Cardiac Critical Care Medicine' >Pediatrics - Cardiac Critical Care Medicine<\/option><option value='Pharmacy' >Pharmacy<\/option><option value='Physical Medicine and Rehabilitation' >Physical Medicine and Rehabilitation<\/option><option value='Plastic Surgery' >Plastic Surgery<\/option><option value='Psychiatry' >Psychiatry<\/option><option value='Psychiatry - Addiction Medicine' >Psychiatry - Addiction Medicine<\/option><option value='Psychology - Addictions' >Psychology - Addictions<\/option><option value='Psychology - Behavioral Health and Technology' >Psychology - Behavioral Health and Technology<\/option><option value='Psychology - Behavioral Medicine' >Psychology - Behavioral Medicine<\/option><option value='Psychology - Clinical Psychology' >Psychology - Clinical Psychology<\/option><option value='Psychology - Forensic Psychology' >Psychology - Forensic Psychology<\/option><option value='Psychology - Neuropsychology' >Psychology - Neuropsychology<\/option><option value='Psychology - Rehabilitation Neuropsychology' >Psychology - Rehabilitation Neuropsychology<\/option><option value='Pulmonary Disease and Critical Care Medicine' >Pulmonary Disease and Critical Care Medicine<\/option><option value='Radiation Oncology' >Radiation Oncology<\/option><option value='Radiological Physics' >Radiological Physics<\/option><option value='Radiology - Abdominal Imaging' >Radiology - Abdominal Imaging<\/option><option value='Radiology - Advanced Neuroradiology' >Radiology - Advanced Neuroradiology<\/option><option value='Radiology - Breast Imaging' >Radiology - Breast Imaging<\/option><option value='Radiology - Cardiothoracic' >Radiology - Cardiothoracic<\/option><option value='Radiology - Interventional Neuroradiology' >Radiology - Interventional Neuroradiology<\/option><option value='Radiology - Musculoskeletal' >Radiology - Musculoskeletal<\/option><option value='Radiology-Diagnostic' >Radiology-Diagnostic<\/option><option value='Regional Anesthesiology and Acute Pain Medicine' >Regional Anesthesiology and Acute Pain Medicine<\/option><option value='Rheumatology' >Rheumatology<\/option><option value='Sleep Medicine (Multidisciplinary)' >Sleep Medicine (Multidisciplinary)<\/option><option value='Sports Medicine (Family Medicine)' >Sports Medicine (Family Medicine)<\/option><option value='Surgery' >Surgery<\/option><option value='Surgery - Abdominal Transplant' >Surgery - Abdominal Transplant<\/option><option value='Surgery - Aortic Vascular Surgery' >Surgery - Aortic Vascular Surgery<\/option><option value='Surgery - Critical Care' >Surgery - Critical Care<\/option><option value='Thoracic Surgery - Independent' >Thoracic Surgery - Independent<\/option><option value='Thoracic Surgery - Integrated' >Thoracic Surgery - Integrated<\/option><option value='Transplant Hepatology' >Transplant Hepatology<\/option><option value='Urology' >Urology<\/option><option value='Vascular Medicine' >Vascular Medicine<\/option><option value='Vascular Neurology' >Vascular Neurology<\/option><option value='Vascular Surgery - Independent' >Vascular Surgery - Independent<\/option><\/select><\/div><\/div><div id=\"field_78_4\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Coat Selection<\/h3><div class='gsection_description' id='gfield_description_78_4'>You will be given 2 embroidered coats with your name and program printed on them.  Please see the links below for detailed information about coat styles and sizing (depending on your browser you may have to copy\/paste the URLs):\n<br>\n<br>\n<strong>KP13WH<\/strong> - Women's Coat\n<br>\n<strong>KT33WH <\/strong>- Women's Coat With Sewn-In Belt\n<br>\n<b>Women's Style and Sizing<\/b>: <a href=\"https:\/\/med.virginia.edu\/gme\/coat-styles-womens\" target=\"_blank\"> Chart <\/a>\n<br>\n<br>\n<strong>KT34WH<\/strong> - Men's Coat With Sewn-In Belt\n<br>\n<strong>KP14WH<\/strong> - Men's Coat\n<br>\n<b>Men's Style and Sizing<\/b>: <a href=\"https:\/\/med.virginia.edu\/gme\/coat-styles-men\" target=\"_blank\"> Chart <\/a><\/div><\/div><fieldset id=\"field_78_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Coat Styles<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_78_5'>\n\t\t\t<div class='gchoice gchoice_78_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='KP13WH - Women&#039;s Coat (Sizes XS-4XL)'  id='choice_78_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_5_0' id='label_78_5_0' class='gform-field-label gform-field-label--type-inline'>KP13WH - Women's Coat (Sizes XS-4XL)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='KT33WH - Women&#039;s Coat With Sewn-In Belt (Sizes XS-2XL)'  id='choice_78_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_5_1' id='label_78_5_1' class='gform-field-label gform-field-label--type-inline'>KT33WH - Women's Coat With Sewn-In Belt (Sizes XS-2XL)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='KP14WH - Men&#039;s Coat (Sizes XS-4XL)'  id='choice_78_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_5_2' id='label_78_5_2' class='gform-field-label gform-field-label--type-inline'>KP14WH - Men's Coat (Sizes XS-4XL)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_78_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='KT34WH - Men&#039;s Coat With Sewn-In Belt (Sizes S-3XL)'  id='choice_78_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_78_5_3' id='label_78_5_3' class='gform-field-label gform-field-label--type-inline'>KT34WH - Men's Coat With Sewn-In Belt (Sizes S-3XL)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_78_6\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_78_6'><span class='gform-field-label__text'>Coat Size<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_78_6' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select Size<\/option><option value='XS' >XS<\/option><option value='S' >S<\/option><option value='M' >M<\/option><option value='L' >L<\/option><option value='XL' >XL<\/option><option value='2XL' >2XL<\/option><option value='3XL' >3XL<\/option><option value='4XL' >4XL<\/option><\/select><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_78' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_78' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_78' id='gform_theme_78' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_78' id='gform_style_settings_78' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_78' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='78' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='5pQ9d0wlmWP6GrcU+iUOGL5cBatCngeQ2lhaPHApHWzogdH1ixnqeiYaAPJ1tSz2AiVXGVrPmryuguN+sHKfVhdnZqmsrRlk6BgRhx+05QM6XUI=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_78' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_78' id='gform_target_page_number_78' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_78' id='gform_source_page_number_78' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"36\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n                        <\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":229,"featured_media":0,"parent":207,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":"","_members_access_role":[],"_members_access_error":"","_links_to":"","_links_to_target":""},"tags":[],"class_list":["post-5586","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - 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