BAPCOC INTERVISION 6th of December 2024: Shaping the future Question Title * 1. First name Question Title * 2. Last name Question Title * 3. E-mail Question Title * 4. Which team are you a member of? (several answers possible) IPC AMS HOST Other, please specify Question Title * 5. If you are a member of a HOST-team : What is the name of your Hospital Network? Question Title * 6. If you are a member of an IPC/AMS team: What is the name of your Hospital? Question Title * 7. If you are neither of the options above: What is the name of your organization? Question Title * 8. What is your profile? IPC physician IPC Nurse Pharmacist Microbiologist Infectiologist HOST coordinator Member of the HOST steering committee HOST responsible MD Member of the hospital management Other, please specify Question Title * 9. INAMI/RIZIV number (only for doctors) Question Title * 10. During the breakout sessions, we will begin shaping recommendations, and your insights are essential. Could you please indicate which topics you personally would like to focus on for discussion? (several answers possible) Integration AMS and IPC IPC AMS Question Title * 11. In which language(s) are you able to participate in these discussions? French Dutch English Question Title * 12. Lunch will be provided during the day. Do you prefer a vegetarian option, non-vegetarian, or have no preference? Vegeterian Non-vegeterian I have no preference Terminé