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Hospital/Institution Printed Name of Program Director E-mail Address Program Director Signature Program Coordinator TSDA In-Training Exam. The surgeon or staff member affiliated with hospital s/institution s thoracic surgery residency program whose agreement is noted below will proctor the examination. Proctor Signature Signature indicates agreement to be present throughout the exam. TSDA rd 633 N. Saint Clair St. 23 Floor Chicago IL 60611 Attn ITE Fax 773-289-0871 tsda tsda.org. Please check...
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