Subject Matter Expert Enrollment Current PositionsSubject Matter Expert Enrollment Form Current Positions Anesthesiology ECHO Road to Residency in USA Road to medical school in USA Subject Matter Expert Enrollment Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Learning Session *Anesthesiology ECHORoad to residency in USARoad to medical school in USAFirst Name *This is how it will appear on the announcementsLast Name *This is how it will appear on the announcementsSpeciality/Subspeciality *Position/Academic Rank *chooose one rank (e.g. Professor or Consultant – not both)Name of Institution/Hospital/University *Choose one affiliation to be included in the announcementsCity/State *Country *Email Address *WhatsApp *Linkedin Link or work webpage *type “no” if not availableTwitter handle *type “no” if not availableBiosketch *In less than 250 words Professional Photo * Click or drag a file to this area to upload. .png, .jpg, .jpeg format; shows the face and shoulders; shows the face and shoulders, square shape, professional background; this picture will be posted on the website CV * Click or drag a file to this area to upload. .pdf, .doc, .docx format; Name of topic/talk *Attestation of SME Responsibilities *I attest to reading the SME Responsibilities outlined by the Facilitator and will abide with themSlide Preparation Use the slide template provided by the facilitator (that contains the relevant logos) Do not include any patient personal information (e.g. name, date of birth, medical record number) Day of Session Join 15 minutes before the session starts to confirm everything is in working order Use a quiet location with stable, high-speed internet Please use a computer that has a camera Position the webcam so the whole face is visibleIn the event of unforeseen unavailability, i.e. unable to present with less than one month notice *I give permission to a colleague to present my slides on my behalfI don’t give permission to a colleague to present my slides on my behalfConsent to record presentation and share with learners *I gave permission to record my talk and share with learnersConsent to share pdf of presentation with learners *I gave permission to share the pdf of my talk with the learnersConsent to include content of my presentation in SAMA Learning Management System (Moodle) *I gave permission to content of my presentation in SAMA Learning Management System (Moodle)Submit form
