Apply for the Skills Training

ESMINT – Skills Training 2.1 Application 05/2025

Email(Required)

Name(Required)

First name Last name

Hospital name(Required)

Department(Required)

Hospital address(Required)

Street Address ZIP / Postal Code City Country

Date of birth(Required)

Date Format: dd/mm/yyyy

Contact telephone number

Are you a current ESMINT Member?(Required)

If you do not have a valid ESMINT membership, please apply first for membership at https://www.esmint.eu/membership/ before continuing. ESMINT membership is a criterion of eligibility for application to the Skills Training Programme.

Yes

Have you participated in one or more of the following ESMINT Educational Programmes?

ECMINT

EXMINT

Fellowship Programme

e-Fellowship Programme

If yes, please add the course number or the center of the fellowship programme:

Please rate your proficiency in English(Required)

How many diagnostic neuro-angiographies did you perform?(Required)

Please provide information on your experience in treating strokes independently:(Required)

No experience

Less than 3 months

3 – 6 months

6 months – 1 year

1 – 2 years

More than 2 years

How many strokes did you treat as the second operator?(Required)

How many strokes did you treat as the first operator?(Required)

What type of hospital do you work in?(Required)

Secondary care (specialized hospital)

Tertiary care (referral center capable of treating any health issue)

Other

What is your specialty?(Required)

How long have you worked in neurointerventions?(Required)

No experience

1-3 months

3-6 months

6-12 months

1-2 years

3-5 years

More than 5 years

Please upload the following documents to this application:(Required)

A letter of recommendation from your department head
Current Curriculum Vitae

Drop files here or

Max. file size: 100 MB.