Physician application Physician Membership * Physician - $ 100.00 Total Amount Email Address * Background Specialty Medicine Dentistry Pharmacy Nursing Occupational/Physical Therapy Resident Fellow Sub-specialty Anesthesiology Cardiology Dermatology Emergency Medicine Endocrinology Gastroenterology Geriatric Medicine Infectious Disease Internal Medicine Interventional Cardiology Nephrology Neurology Nuclear Medicine OB/GYN Oncology Ophthalmology Otolaryngology Pain Medicine Pathology Pediatrics Plastic Surgery Psychiatry Pulmonary Disease Radiation Oncology Rheumatology Sports Medicine Surgery (general) Thoracic Surgery Transplant Urology Vascular Surgery Hospital Affiliation / Practice Affiliation Name of Medical School attended * Are you involved in your local CMANA Chapter? Yes No What interests you about CMANA?