M E M - Results Directsnmmi.files.cms-plus.com/docs/CECenter/PromotionalMaterials... · The Society of Nuclear Medicine and Molecular Imaging (SNMMI) is a scientific and professional

MEMBERSHIP

APPLICATIO

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The Society of Nuclear Medicine and Molecular Imaging (SNMMI) is a scientific

and professional organization dedicated to advancing the science, technology

and practical application of nuclear medicine, molecular imaging and radionuclide

therapy.

For over 60 years, SNMMI members have developed—and continue to explore—

innovations in medical imaging to allow for noninvasive diagnosis, management

and treatment of diseases, benefiting countless patients. SNMMI’s 17,000 members,

in more than 80 countries around the world, include physicians, technologists,

physicists, pharmacists, scientists, laboratory professionals, and others committed to

advancing nuclear medicine and molecular imaging.

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MEMBERSHIP BENEFITSBeing a member of SNMMI offers you growth and continuing education that you won’t find anywhere else, along with the resources and connections to help your career flourish in the nuclear medicine and molecular imaging community. Our mission is to provide you with the tools you need to succeed:

World-Class Meetings• Collaborate with thousands of nuclear medicine and molecular imaging professionals at the

SNMMI Annual Meeting, Mid-Winter Meeting, SNMMI partnered meetings, local Chapter meetings, Roadshows, and more

• SNMMI members can save up to 40% off meeting registrations

Knowledge• The Journal of Nuclear Medicine (JNM)• Journal of Nuclear Medicine Technology (JNMT)• Uptake Newsletter – Exclusive SNMMI-TS Benefit• Smartbriefs – daily news briefing via email• Free digital book series• SNMMI Website – Exclusive access to SNMMI’s website, which contains cutting-edge knowledge for optimal patient care

Education• Free! CE/SAM Credits with SNMMI’s online journal exams• Credit History Tracking• VOICE Program & Credit Sharing with ARRT & NMTCB • Access countless online education resources that provide CME, AMA PRA Category 1 CreditsTM, VOICE, ACPE and CAMPEP credit

through the SNMMI’s Learning Center• Save up to 40% off numerous CE programs including online lectures, webinars, review courses, case studies, and much more

Advocacy• SNMMI works closely with Congress, as well as federal departments and agencies like CMS, DOE, FDA, NRC, etc., to ensure that

nuclear medicine and molecular imaging are represented in the legislative and regulatory process and to get approval and availability of new tracers and technologies and appropriate reimbursement

• SNMMI’s Technologist Advocacy Group (TAG Team) provides a representative in every state to answer questions for members, monitor legislation, and lobby state governments when necessary

• Monthly Health Policy and Regulatory Affairs Newsletter

Career & Professional Development• Maintain professional obligations and certifications• Search the job board, post a resume and access great resources on certification and licensure through SNMMI’s Career Center• Annual scholarships, awards and grants available to fund education, programming and professional development• Local chapters offer networking, education and opportunities to make a difference at the grassroots level• Get involved with SNMMI’s twelve specialty Councils and Centers of Excellence

Resources & Tools• SNMMI’s Physician Quality Reporting System (PQRS) wizard snmmi.pqrswizard.com• Practice Resources – Procedure Standards, Appropriate Use Criteria, Dose Optimization tools, Credentialing statements, SNMMI’s

Phantom program, Scope of Practice for the Nuclear Medicine Technologist and more• Get up-to-date coding and reimbursement news or submit your Q & A through the online Coding Corner www.snmmi.org/codingcorner• The Clinical Trials Network provides tools and resources to promote faster, more cost-effective drug development and increase the

availability and performance of molecular imaging radiopharmaceuticals for use in the clinic• Search and network with 17,000 colleagues via our online member directory• Save up to 40% off books, products and merchandise from the SNMMI Store• The Affinity Programs provide exclusive services and products designed to enhance your lifestyle and your practice

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CATEGORY DESCRIPTION ANNUAL DUES INCLUDESFull Member(Doctorate degree)

Physicians, scientists or pharmacists possessing an advanced degree who have presented credentials indicating their professional activity, either, medical, paramedical, investigational or educational in the scientific or clinical disciplines of molecular imaging or nuclear medicine. This includes the diagnostic, therapeutic or investigational use of radionuclides or other molecular imaging technologies.

US & Canada: $485 + chapter dues

International: $510

Print/Online subscription to JNM.

Online subscription to JNMT.

Voting rights and can be elected an officer of the SNMMI.

Associate Member(Masters or Baccalaureate degree)

Scientists, or other health professionals with a masters or baccalaureate degree who have presented credentials indicating their professional activity, either paramedical, investigational or educational, in the scientific or clinical disciplines of molecular imaging or nuclear medicine. This includes the diagnostic, therapeutic or investigational use of radionuclides or other molecular imaging technologies.

Annual Dues:

$345 + chapter dues



Voting rights.

Associate Scientific Lab Professional(Masters or Baccalaureate degree)

Individuals involved in molecular imaging research at the pre-clinical or translational level. These fields include utilization of optical imaging, radiopharmaceuticals, MRI,MR spectroscopy, ultrasound, stem cell research and cell trafficking. Members must have a master or baccalaureate degree and provide valid credentials indicating their training and involvement in one of these areas of research.

Annual Dues:

$179 + chapter dues



Voting rights.

Associate Technologist Member(Masters or Baccalaureate degree)

Nuclear medicine and molecular imaging technologists, with a masters or baccalaureate degree who have presented credentials indicating their professional activity, either paramedical, investigational or educational, in the scientific or clinical disciplines of molecular imaging or nuclear medicine. This includes the diagnostic, therapeutic or investigational use of radionuclides or other molecular imaging technologies.

$123 + chapter dues Print/Online subscriptions to JNM, JNMT, and Uptake newsletter.

Voting rights in SNMMI and SNMMI-TS. Can be elected an officer of the SNMMI-TS.

Technologist Member

Technologists who have presented credentials indicating professional activity in molecular imaging or nuclear medicine technology or other related fields.


Voting rights and can be elected an officer of the SNMMI-TS.

Scientific Lab Professional

Individuals who are involved in molecular imaging research at the pre-clinical or translational level. These fields include utilization of optical imaging, radiopharmaceuticals, MRI, MR spectroscopy, ultrasound, stem cell research and cell trafficking. Members must provide valid credentials indicating their training and involvement in one of these areas of research.



Affiliate Member

Individuals committed to the advancement of molecular imaging or nuclear medicine, but not qualifying for membership in other categories.

$375 + chapter dues Print/Online subscription to JNM.


Emeritus Member

Individuals upon their retirement after at least ten (10) years of consecutive membership in the Society.

Please contact SNMMI member services for more information regarding Emeritus membership.

Free (online journal)

$165 (with print journal)

Online subscriptions to JNM and JNMT.

Print/Online subscriptions to JNM or JNMT.

MEMBERSHIP TYPES

SNMMI’s membership year runs from October 1 – September 30.4

Stay Up-to-Date On Industry Developments

Corresponding Countries

CATEGORY DESCRIPTION ANNUAL DUES INCLUDES

Resident/ Fellow

Nuclear Medicine or Radiology Residents/Fellows who are enrolled in accredited training programs or postdoctoral fellowships.

Free during training Online subscriptions to JNM and JNMT.

Scientist-in-Training

Scientists who are enrolled in accredited training programs. Free during training (up to 3 years)


Technologist Student

Technologist students who are enrolled in accredited training programs Free during training (up to 2 years)

Online subscriptions to JNM, JNMT, and Uptake newsletter.

In-Training Categories

Resident/ Fellow-in- Transition (1-3 years after graduation)

Residents/Fellows, within three years of graduation, who participated in the society’s in-training membership program and can present credentials indicating professional activity in molecular imaging or nuclear medicine or other related fields.

Year 1: $82 + chapter dues





Scientist-in-Transition(1-3 years after graduation)

Scientists, within three years of graduation, who participated in the SNMMI in-training membership program and can present credentials indicating professional activity in molecular imaging or nuclear medicine or other related fields.






Technologist-in-Transition(1st year after graduation)

Students who participated in the SNMMI-TS in-training membership program who graduated in the past 6 months, and can present credentials indicating professional activity in molecular imaging or nuclear medicine or other related fields.

$54 + chapter dues Online subscriptions to JNM, JNMT, and Uptake newsletter.


In-Transition Categories

SNMMI’s membership year runs from October 1 – September 30.

Discounted dues are available for eligible members that reside in low and lower middle income countries as defined by the World Bank. Please visit www.snmmi.org/membershipcategories to learn more and for a list of countries.

80% off your membership dues

Online subscriptions to your SNMMI publications.

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MEMBERSHIP TYPES

Proven Value

therapy center of excellence $15The Therapy Center of Excellence is dedicated to all aspects of the development and utilization of Targeted Radioisotope Therapy (TRT) as an alternative to other treatments. The overall mission of the Center is to: (1) Provide a forum for members with similar interests; (2) Provide expertise in TRT; (3) Foster research and education in TRT; (4) Provide outreach to other professionals and organizations; and (5) Nurture new membership in SNMMI. www.snmmi.org/therapy

center for molecular imaging innovation and translation $15The Center for Molecular Imaging Innovation and Translation is an organizational component within SNMMI. The Center’s mission is to engage the molecular imaging community and leverage the SNMMI infrastructure to advance the adoption of emerging molecular imaging technologies and probes in preclinical and clinical applications. www.snmmi.org/cmiit

pet center of excellence $15The PET Center of Excellence is an organizational component within SNMMI that is dedicated to all aspects of the development and utilization of PET and PET/CT in the detection and management of disease. Two primary focuses of the Center are educational programs and practical issues directly related to PET and PET/CT, including clinical practice, regulator issues, and reimbursement. The PET Center develops resources for referring and interpreting physicians through the PET PROS program (www.snmmi.org/petpros). www.snmmi.org/pet

COUNCILSacademic council $15Promotes medical education, research and patient care; helps program directors and other educators develop better methods of teaching, and be better able to satisfy the requirements of accrediting bodies; provides a forum for an informal exchange of ideas and educational techniques. www.snmmi.org/academic

advanced associate council $15 Aids those who are interested in developing an NMAA program at their facility. Supports the practice and policy needs of the NMAA and other areas of technologist advanced practice. Aids with activities associated with nurturing and growing the NMAA, including effecting the necessary culture change to allow this designation to function properly. www.snmmi.org/aa

brain imaging council $15 Provides a forum whereby information relating to brain imaging may be discussed and disseminated and also provides a mechanism for the promotion and encouragement of basic brain imaging research and development. www.snmmi.org/brain-imaging

cardiovascular council $20 Committed to the advancement of Cardiac Nuclear and Molecular Imaging through the engagement of its members, outreach to the community, and advocacy across scientific and educational frontiers. www.snmmi.org/cardiovascular

computer & instrumentation council $15 Provides a source of information relating to computer and instrumentation science through meetings, seminars, and publications as well as promoting the advancement and dissemination of knowledge in this area. www.snmmi.org/caic

correlative imaging council $20 Provides a structure in which clinicians and scientists can develop and disseminate information on the medical and physiological applications of various imaging modalities as they correlate to nuclear medicine. www.snmmi.org/cic

general clinical nuclear medicine council $20 Increases the awareness of and enhances education about a wide range of clinical scintigraphic studies. Strives to achieve more universal standardization of these procedures. Specific focuses include pulmonary, renal, endocrine, musculoskeletal and gastrointestinal nuclear medicine studies. www.snmmi.org/gcnmc

pediatric imaging council $20 Provides a forum for individuals involved in pediatric scintigraphic imaging to meet and discuss common problems and experiences. www.snmmi.org/pediatric-imaging

radiopharmaceutical science council $20 Provides a forum for discussion and dissemination of information relating to the radiopharmaceutical sciences and promotes and encourages basic radiopharmaceutical research and development. www.snmmi.org/rpsc

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CENTERS OF EXCELLENCE

SNMMI CHAPTERSUnless otherwise specified, a chapter will be automatically assigned to US/Canada members based on their geographic location.

Central Chapter(States: MN, WI, IL, IN, MI, OH zip codes 430-449 & 453-455 & 458)Full $40.00Associate $25.00Associate Scientific Lab Professional $40.00Associate Technologist $40.00Technologist $25.00Scientific Lab Professional $25.00Affiliate $25.00Resident/Scientist-in-Transition $5.00Technologist-in-Transition $5.00

Eastern Great Lakes Chapter(States: NY zip codes 128-132, 136, 140-149, Canada: Ontario and provinces east of Ontario)Full $40.00Associate $40.00Associate Scientific Lab Professional $40.00Associate Technologist $35.00Technologist $25.00Scientific Lab Professional $25.00Affiliate $40.00Resident/Scientist-in-Transition $5.00Technologist-in-Transition $5.00

Greater New York Chapter(States: NJ & NY zip codes 100-127, 133-135, 137-139, PA zip codes 170-196, CT zip codes 067-069)Full $50.00Associate $35.00Associate Scientific Lab Professional $50.00Associate Technologist $32.00Technologist $17.00Scientific Lab Professional $17.00Affiliate $35.00Resident/Scientist-in-Transition $2.50Technologist-in-Transition $3.50

Mid Eastern Chapter(States: MD, DE, VA, WV (except 260), DC)Full $30.00Associate $30.00Associate Scientific Lab Professional $30.00Associate Technologist $30.00Technologist $20.00Scientific Lab Professional $20.00Affiliate $30.00Resident/Scientist-in-Transition $5.00Technologist-in-Transition $5.00

Missouri Valley Chapter(States: MO, ND, SD, NE, KS, IA)Full $25.00Associate $25.00Associate Scientific Lab Professional $25.00Associate Technologist $21.00Technologist $20.00Scientific Lab Professional $20.00Affiliate $15.00Resident/Scientist-in-Transition $3.00Technologist-in-Transition $3.00

New England Chapter(States: RI, VT, ME, MA, NH, CT zip codes 060-066)Full $40.00Associate $40.00Associate Scientific Lab Professional $40.00Associate Technologist $10.00Technologist $10.00Scientific Lab Professional $10.00Affiliate $25.00Resident/Scientist-in-Transition $20.00Technologist-in-Transition $5.00

Northern California Chapter(States: NV zip: 893-898, 961, CA zip codes 936-961)Full $40.00Associate $30.00Associate Scientific Lab Professional $40.00Associate Technologist $27.00Technologist $22.00Scientific Lab Professional $22.00Affiliate $35.00Resident/Scientist-in-Transition $3.00Technologist-in-Transition $4.50

Pacific Northwest Chapter(States: WA, OR, ID, MT, WY, CO, UT, AK, HICANADA: British Columbia, Saskatchewan, Alberta & Manitoba)Full $39.00Associate $34.00Associate Scientific Lab Professional $39.00Associate Technologist $37.00Technologist $27.00Scientific Lab Professional $27.00Affiliate $34.00Resident/Scientist-in-Transition $2.50Technologist-in-Transition $4.50

Pacific Southwest Physicians/Technologist Chapters(States: AZ, NV zip codes 889-891, CA zip codes 900-935)Full $40.00Associate $30.00Associate Scientific Lab Professional $40.00Associate Technologist $7.00Technologist $7.00Scientific Lab Professional $7.00Affiliate $35.00Resident/Scientist-in-Transition $3.00Technologist-in-Transition $0.00

Pittsburgh Chapter(States: PA zip codes 150-169, WV zip code 260)Full $20.00Associate $15.00Associate Scientific Lab Professional $15.00Associate Technologist $25.00Technologist $20.00Scientific Lab Professional $20.00Affiliate $10.00Resident/Scientist-in-Transition $5.00Technologist-in-Transition $1.00

Southeastern Chapter(States: FL, GA, AL, MS, TN, SC, NC, KY, OH zip codes 450-452, 456-457)Full $40.00Associate $30.00Associate Scientific Lab Professional $30.00Associate Technologist $30.00Technologist $20.00Scientific Lab Professional $20.00Affiliate $30.00Resident/Scientist-in-Transition $0.00Technologist-in-Transition $0.00

Southwestern Chapter(States: NM, TX, OK, AR, LA)Full $35.00Associate $25.00Associate Scientific Lab Professional $25.00Associate Technologist $25.00Technologist $20.00Scientific Lab Professional $15.00Affiliate $30.00Resident/Scientist-in-Transition $5.00Technologist-in-Transition $2.00

For more information, visit www.snmmi.org/chapters 7

The Application Process1. Use the enclosed form on page 9 or complete an online application at www.snmmi.org/join.

All sections must be completed.

2. Residents and Students: In addition to completing an online application you will also need to submit a program director certification form, which you can find on page 11 or by downloading a copy at www.snmmi.org/intraining.

3. Member in the United States and Canada are automatically assigned to a chapter based on geographic location. Please refer to page 7 for a list of all the chapters.

4. Optional membership is available in various special interest groups. Please see page 6 for a complete listing.

5. Please complete your member profile on page 10.

6. Submit the application along with dues payment to:

Society of Nuclear Medicine and Molecular ImagingAttn: Member Services1850 Samuel Morse DriveReston, VA 20190703.326.1186703.667.5134 (Fax)


For questions about the application process, email us at [email protected], or call Member Services at 703.326.1186.

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MEMBERSHIP APPLICATIONFirst Name: M.I.: Last Name: Suffix:

Designations: Birth Date: Gender:

WORK ADDRESS:

Company/Institution:

Department: Title:

Street Address:

City, State, Zip: Country:

Work Email: Work Phone:

HOME ADDRESS:

Street Address:

City, State, Zip: Country:

Personal Email: Phone:

Preferred Mailing Address: q Home q Work Preferred Email Address: q Home q Work

MEMBERSHIP TYPE:Please select your appropriate member type below.q Full Member (US/Canada) - $485q Full Member (International) - $510q Associate Member - $345q Associate Scientific Lab Professional - $179q Affiliate Member - $375q Associate Technologist - $123q Technologist - $108q Scientific Lab Professional - $108q Resident/Fellow-in-Training - Freeq Scientist-in-Training - Freeq Technologist-in-Training - Free

ADDITIONAL MEMBERSHIP OPTIONS:Please select the Councils and/or Centers of Excellence to add to your membership.q Academic Council: $15q Advanced Associate Council: $15q Brain Imaging Council: $15q Cardiovascular Council: $20q Center for Molecular Imaging Innovation & Translation: $15q Computer & Instrumentation Council: $15q Correlative Imaging Council: $20q General Clinical Nuclear Medicine Council: $20q PET Center of Excellence: $15q Pediatric Imaging Council: $20q Radiopharmaceutical Sciences Council: $20q Therapy Center of Excellence $15

I agree to abide by the current bylaws, policies and procedures of the Society and any future revisions thereof. I certify that the information given above is correct to the best of my knowledge.

Signature of Applicant: Date:

PAYMENT INFORMATION q American Express q Mastercard q VISA

Credit Card Number: Expiration Date:

Name as it appears on Card: Verification Code:

Cardholder Signature: Today’s Date:

q Check: Please make check payable to the Society of Nuclear Medicine and Molecular Imaging (in U.S. Dollars)


Member Dues: $

Chapter Dues: $

Council/Center Dues: $

Total: $

CHAPTER MEMBERSHIP:Unless otherwise specified, a chapter will automatically be assigned based on your geographic location (members in US/Canada only).

Chapter:

PRINT PUBLICATION(S):SNMMI publications are now online. If you would like print issues, please opt-in below: Opt-inThe Journal of Nuclear Medicine (JNM) q

JNM Supplement(s) Only q

Journal of Nuclear Medicine Technology (JNMT) q

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Full Name:

Please select your Continuing Education Credit Type:q AMA PRA Category 1 CreditsTM (Physician) q ACPE (Pharmacist) q VOICE (Technologist) q CAMPEP (Physicist) q None (In Training, Affiliate, etc)

Please select up to 3 certifications:q ABIM q RPH q ABNM q None q ABR q ARRT(CT)q ARRT (MR)q ARRT(N)

Please select up to 3 degrees:q AAq AASq ASq BAq BSq BSCq DOq DScq JDq MB

Please select your job function:q Cardiology Technologistq Chief Technologistq Clinical Research Technologistq Consultantq Educator/Teacherq Healthcare Administratorq Medical Studentq Managementq Nuclear Medicine Physicianq Nuclear Medicine Technologistq Nurseq PET Technologistq Product Research & Developmentq Quality Management/Assuranceq Radiation Safety Officerq Radiographerq Radiologistq Radiopharmacistq Research Scientistq Residentq Sales & Marketingq Staff Technologistq Technical Directorq Technologist Studentq Other

Please select the best description of your workplace environment:q Combined Nuclear Medicine/Radiologyq Education in Classroomq Emergency Medicineq Family Practiceq Geriatricsq Internal Medicineq Molecular Imagingq Neurologyq Nuclear Medicineq Optical Imagingq Pediatricsq Pharmacyq Physicsq Radiologyq Veterinary Medicineq Other

Please select your primary specialty:q Cardiologyq Hybrid Imagingq Medical Physicsq Molecular Imagingq Molecular Probe and Contrast Agent Developmentq Nanomedicineq Nuclear Medicine (general)q Nuclear Medicine Technologyq Oncologyq Optical Imagingq Radiologyq Radiopharmaceutical Chemistryq Radiopharmacyq Other

Please select your primary place of work:q Academic Institutionq Departmental Libraryq Free-Standing Imaging Facilityq Government Laboratoryq Industryq Institutional Libraryq Military Clinic/Hospitalq Mobile Unitq Molecular Imaging Laboratoryq Non-University Affiliated Hospitalq Medical Centerq Other

q ARRT(R) q BCNPq NMTCB (CNMT)q NMTCB (NCT)q NMTCB (PET)q Other:

q MBAq MDq Medq MHAq MPHq MSq MScq PharmDq PhDq Other:

q None

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MY PROFILE

I hereby certify that _________________________________________, is currently a

__________________________________________________________________, enrolled in the

_________________________________program at_____________________________,

with an expected graduation date of __________________.

(PRINT NAME OF INDIVIDUAL)

(RESIDENT, FELLOW, SCIENTIST-IN-TRAINING, TECHNOLOGIST STUDENT)

(NAME OF PROGRAM) (NAME OF UNIVERSITY)

(MONTH/DAY/YEAR)

Name (Please Print) SNMMI ID (if applicable)

Title Email

Signature Date WHAT CURRENT DEGREE PROGRAMS ARE YOU ENROLLED IN?

q AA

q BS

q MD

q PhD

(for in-training membership applications only)

q Other

TYPE OF RESIDENCY/FELLOWSHIP (IF APPLICABLE):

q Nuclear Medicine q Radiology/Nuclear Radiology

q Nuclear Medicine Technologist q Scientist-in-Training

q Other

Please return to the SNMMI Membership Department at [email protected] or by fax to 703-667-5134.

q MS

q Certificate

PROGRAM DIRECTOR CERTIFICATION

In-Training membership applicants must complete the application process before submitting this form. The form will not be processed without a completed online application. Please allow 10 business days for processing once the application is completed and the program director form is submitted.

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www.snmmi.org

1850 Samuel Morse DriveReston, VA 20190

Documents

M E M - Results Directsnmmi.files.cms-plus.com/docs/CECenter/PromotionalMaterials... · The Society of Nuclear Medicine and Molecular Imaging (SNMMI) is a scientific and professional