Students, Residents, and Fellows—

Join the association for medical ultrasound and access your path to professional success

www.aium.org

SRF-MembershipBrochure:0612 7/3/12 2:22 PM Page 1

Your membership benefits include:The Journal of Ultrasound in Medicine printed and onlineWith 24/7 online access to all published journal articles, this monthlypeer-reviewed journal makes research easy. The journal presents articles of original research in basic science and clinical aspects ofultrasound, and showcases some of the most cutting-edge literaturein the field. This subscription is a $340 value!

The AIUM Journal ClubThis online forum adds a lively dimension to the journal, expanding your learningexperience with in-depth discussions of the literature. Selected articles are postedfor discussion at www.aiumcommunities.org.

Online Resource LibraryFree, members-only access to resources on topics such as ultrasound techniques,terminology, safety and bioeffects, and quality assurance for all professional levels.

AIUM Sound WavesStay informed through the official AIUM e-newsletter, which provides up-to-the-minute AIUM news concerning members and the entire ultrasound community.

Official Statements and Practice GuidelinesThe AIUM provides position statements on ultrasound-related issues and practiceguidelines. Enhanced interactive guidelines provide images, hyperlinks to otherguidelines referenced, and online CME tests.

Career CenterThe AIUM connects you with the best jobs in the field. The Career Center partnerswith the National Healthcare Career Network, a group of over 260 top health care associations and professional organizations that post open positions, including thosepertaining to ultrasound.

Join the AIUM—the associatiStudents, residents and fellows, the AIUM recognizes that you are the future of medical ultrasoundyou are in a full-time educational program and have an interest in medical ultrasound. This categreduced rate of only $25* for 12 months! This membership category offers the opportunity to enhamaterial, networking opportunities, and career development.

SRF-MembershipBrochure:0612 7/3/12 2:22 PM Page 2

AIUM CommunitiesThe AIUM has more than 15 communities and interest groups that enable members to interact and collaborate with colleagues whohave similar ultrasound interests. Groups interact online and meet inperson at the AIUM Annual Convention.

InvolvementConnect and contribute to the advancement of ultrasound and meet leaders throughAIUM committees, communities, and educational events. Expand your career oppor-tunities and professional knowledge, and discover just how much you have to gain!

Free Webinars and Online LecturesAIUM webinars offer the opportunity to advance your knowledge and earn free CMEcredits. Online lectures are the next best thing to attending the AIUM Convention.Members can view selected taped lectures on a variety of ultrasound topics.

Annual Convention and Postgraduate Courses The AIUM’s Annual Convention is filled with comprehensive, cutting-edge ultrasoundprogramming and is dedicated to all disciplines of medical ultrasound. AIUM student/resident/fellow members save significantly on registration fees! PostgraduateCourses focus on contemporary ultrasound topics and fundamentals.

DVD ProgramsThe AIUM offers more than 20 DVDs to choose from, on a range of medical ultra-sound topics. Members receive up to 50% off these DVD programs.

sociation for medical ultrasoundmedical ultrasound. For that reason, AIUM student/resident/fellow membership is available to you if asound. This category of membership provides all the benefits of AIUM membership at a greatly opportunity to enhance your ultrasound educational experience through research tools, educational

Membership is only $25*

for students, residents and fellows!

Join online at www.aium.org

*$25 membership fee available to all students/residents/fellows in the United States. Additional fees apply to international memberships.Refer to the enclosed application for a listing of all student/resident/fellow membership rates.

SRF-MembershipBrochure:0612 7/3/12 2:22 PM Page 3

Include your AIUM affiliation on your résumé or CV—it makes a difference!

Students, Residents, and Fellows— join the a

AIUM student/resident/fellow membership provides value to you during your educationand beyond. In addition to being a great résumé builder, AIUM membership providesyou with a link to your professional future. Begin your affiliation with a professional association where ideas, resources, and opportunities abound. All for only $25*!

As you go forward into your profession, the AIUM will provide tools to ease the transitioninto the workplace, including access to the AIUM Career Center as well as an affordablegraduated dues structure, available to AIUM student/resident/fellow members.

How Do I Join the AIUM?To become an AIUM student/resident/fellow member for only $25, complete the attachedapplication or join online at www.aium.org.

Mail AIUM, Attn: Membership14750 Sweitzer Ln, Suite 100Laurel, MD 20707-5906 USA

Fax 301-498-4450

Website www.aium.org

*U.S.

SRF-MembershipBrochure:0612 7/3/12 2:22 PM Page 4

join the association for medical ultrasound

Graduated Membership Dues StructureFollowing your first year of student/resident/fellow membership, your AIUM status willbe automatically upgraded to first-year career member—a savings of more than75% off general membership dues. The next year, you will be automatically upgradedto second-year career member—again, a savings of more than 50%. And finally,the third year, you will become an AIUM general member. The membership duesrates for these categories are illustrated below.

Membership Dues Structure(Prices subject to change.)

You will receive a dues reminder notice a few months prior to your membership expiration that will reflect the automatic upgrade in membership. If you are still a full-time student, resident, or fellow, simply inform AIUM Member Services of your current status, and you will receive instructions on how to maintain your student standing and continue to receive the student/resident/fellow membership rate.

For questions about the AIUM student/resident/fellow membership category or the graduated dues structure, please call Member Services at 800-638-5352 or 301-498-4100, or e-mail membership@aium.org.

United States Canada/Mexico International

Student/resident/fellow $25 $70 $100

First-year career $50 $95 $125

Second-year career $100 $145 $175

General member, physician $250 $295 $325

General member, nonphysician $140 $185 $215

®

SRF-MembershipBrochure:0612 7/3/12 2:22 PM Page 5

Eligibility for AIUM Student/Resident/Fellow Membership Individuals must be enrolled in a full-time educational program, residency, or fellowshipto be eligible for AIUM Student/Resident/Fellow Membership. Complete application orjoin online at www.aium.org.

Please print.■■ Dr ■■ Mr ■■ Ms

Name ________________________________________________________________________________

Degree _______________________________________________________________________________

Primary Phone _______________________________ Primary Fax ______________________________

Primary Address ________________________________________________________________________

City, State, Postal Code, Country __________________________________________________________

E-mail ________________________________________________________________________________

This is my ■■ home ■■ work address.

Secondary Phone ____________________________ Secondary Fax ____________________________

Secondary Address _____________________________________________________________________

City, State, Postal Code, Country __________________________________________________________

This is my ■■ home ■■ work address.

Year of Birth _________________________________________________ Gender ■■ female ■■ male

Name of Educational Facility (required) __________________________________________________

Program Director Name (required) ______________________________________________________

Phone ______________________________________________________________________________

Educational Program (Please check 1)

■■ Abdominal Imaging ■■ Breast Imaging ■■ Emergency Medicine ■■ Engineering/Physics ■■ Maternal-Fetal Medicine ■■ Medical School ■■ Nursing ■■ Ob/Gyn ■■ Radiology ■■ Residency■■ Sonography ■■ Ultrasound Fellowship ■■ Vascular Imaging

■■ Other ____________________________________________________________________________

Referred by (name) __________________________________________________________________

■■ Program Director ■■ Colleague/Friend ■■ Other ________________________________________

AIUM Student/Resident/Fellow Membe

Return to AIUM, Attn: Membership14750 Sweitzer Ln, Suite 100Laurel, MD 20707-5906 USA

Phone 800-638-5352 or 301-498-4100Fax 301-498-4450E-mail membership@aium.orgWebsite www.aium.org

SRF-MembershipBrochure:0612 7/3/12 2:22 PM Page 6

Student/Resident/Fellow Membership Dues Membership rates subject to change at year end. (Please check 1)

■■ $25 United States

■■ $70 Canada or Mexico

■■ $100 International (Outside North America)

Payment■■ Check enclosed payable to the AIUM in US dollars.

■■ Credit card ■■ VISA ■■ MasterCard ■■ American Express

Card No. ________________________________________

Exp. Date ________________________________________

Card Security Code _______________________________(Three- or 4-digit value printed on the card or signature strip)

Credit Card Billing Address Postal Code _______________

Name of cardholder, if different from applicant name

________________________________________________

Signature

________________________________________________

■■ By submitting this form, I verify that the information

I have provided is correct and that I am enrolled in a

full-time educational program. I give permission for the

AIUM to verify this information with my institution.

$_______________ Total enclosed

You will receive your AIUM orientation packagewithin 2–4 weeks. Membership services will beginthe month dues are received and continue for 12months. Mem bership dues are nonrefundable andnontransferable. AIUM dues are not deductible asa charitable contribution for federal tax purposesbut may be deductible as a business expense.

Membership ApplicationAIUM CommunitiesPlease indicate the community(ies) with whichyou want to be affiliated (no additional cost).

■■ Basic Science and Instrumentation■■ Cardiovascular Ultrasound■■ Contrast-Enhanced Ultrasound■■ Emergency and Critical Care Ultrasound■■ Fetal Echocardiography■■ General and Abdominal Ultrasound■■ Gynecologic Ultrasound■■ High-Frequency Clinical and Preclinical Imaging■■ Interventional-Intraoperative Ultrasound■■ Musculoskeletal Ultrasound■■ Neurosonology■■ Obstetric Ultrasound■■ Pediatric Ultrasound■■ Sonography■■ Therapeutic Ultrasound

Which 1 community best reflects your primary interest area?

________________________________________

Certifications

Please check all that apply.

AR DMS Certifications■■ Abdomen■■ Adult Echocardiography■■ Breast■■ Fetal Echocardiography■■ Neurosonology■■ Obstetrics/Gynecology■■ Ophthalmic Biometry■■ Ophthalmology■■ Pediatric Echocardiography■■ Physicians Vascular Interpretation■■ Vascular Technology

Medical Board General and Subspecialty Certifications■■ Anesthesiology

■■ Pain Medicine■■ Critical Care Medicine■■ Diagnostic Radiology

■■ Neuroradiology■■ Pediatric Radiology■■ Vascular and Interventional

Radiology■■ Emergency Medicine

■■ Critical Care Medicine■■ Pediatric Emergency Medicine■■ Sports Medicine

■■ Family Medicine■■ Sports Medicine

■■ Internal Medicine■■ Cardiovascular Disease■■ Endocrinology■■ Gastroenterology■■ Nephrology■■ Rheumatology

■■ Neurology■■ Nuclear Medicine■■ Obstetrics and Gynecology

■■ Maternal and Fetal Medicine■■ Reproductive Endocrinology and Infertility

■■ Ophthalmology■■ Orthopedic Surgery■■ Pediatrics■■ Physical Medicine and Rehabilitation

■■ Pain Medicine■■ Sports Medicine

■■ Podiatry■■ Sports Medicine■■ Surgery

■■ Vascular Surgery■■ Urology■■ Other_________________________________

Source Code: SRF127/12

®

SRF-MembershipBrochure:0612 7/3/12 2:22 PM Page 7

®A

mer

ican

Inst

itute

of U

ltras

ound

in M

edic

ine

1475

0 Sw

eitz

er L

n, S

uite

100

Laur

el, M

D 2

0707

-590

6 U

SA

•Cu

ttin

g-ed

ge m

edic

al u

ltras

ound

rese

arch

and

info

rmat

ion

•Th

e op

port

unity

to n

etw

ork

with

and

lear

n fr

om to

p m

edic

al p

rofe

ssio

nals

•Ul

tras

ound

edu

catio

nal r

esou

rces

•A

low

$25

* m

embe

rshi

p ra

te ju

st fo

r you

!

Beco

me

a m

embe

r tod

ay!

ww

w.ai

um.o

rg

*U.S

.Stud

ents

, Res

iden

ts a

nd F

ello

ws —

Join

the

asso

ciat

ion

for m

edic

al u

ltras

ound

offe

ring

SRF-MembershipBrochure:0612 7/3/12 2:22 PM Page 8