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2026-2028 Get Involved with NANOS!
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1.
First Name:
(Required.)
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2.
Last Name:
(Required.)
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3.
Email Address:
(Required.)
4.
NANOS Membership Category:
Resident
Fellow-in-training
Active
International Active
Fellow
International Fellow
Senior/ Senior Fellow
International Senior
5.
Indicate your training background (check all that apply):
Neurology
Ophthalmology
Neuro-Ophthalmology Fellowship
Other
If other, please describe:
6.
Indicate your current position (check all that apply):
Resident
Fellow-in-Training
Neurologist
Ophthalmologist
Neuro-Ophthalmologist
Mostly Research
Administration Position
Other
If you chose 'Administration Position', please mention if you are Chair, Vice Chair, Fellowship Director, Residency Program Director, Clerkship Director, etc:
If you chose 'Other', please specify:
7.
Please check if you have specific interest or expertise in the following topics (select all areas of your expertise/interest that NANOS can benefit from) :
Advocacy
Publishing
Legal
Program Development
Financial Management
Fundraising
Executive Leadership
Strategic Planning
Product Design
Data & Analytics
Sales & Marketing
Media experience
E-publishing
Website development
HTML coding and smart phone Application development
Blogging
AI
Other
If other, please describe:
8.
NANOS is particularly in need of people with expertise in the business aspects of neuro-ophthalmology and advocating for our discipline. Please indicate whether you have expertise in the following areas OR a desire to learn these skills (select all that apply)
Advising colleagues on neuro-ophthalmic practice management problems
Assisting with issues regarding EMR and related informatics in neuro-ophthalmic practice
Working on the areas of neuro-ophthalmic business and compensation
Advocating on behalf of neuro-ophthalmology with other physician groups (AMA, AAN, AAO) and to governmental/public policy agencies (CMS, Congress)
Educating agencies and legislators about our practice and its needs, in association with peer groups such as the Cognitive Specialty Coalition
Establishing tips on best practices in dealing with insurance for your patients' needs
Developing outcomes measures that can be used to satisfy the new coding requirements
If other, please describe:
9.
Indicate your area(s) of interest in the NANOS Organizational Development:
NANOS Education Arm (NOVEL programs, AAO and AAN Educational programs, Patient Education development and Marketing)
NANOS Financial Arm (Financial management, Strategic partnership and sponsorship, Fundraising, Investments, Compliance)
NANOS Management Arm (Strategic planning, Executive leadership, Bylaws and compliance, Ethics, Leadership pipeline and Leadership development)
NANOS Meeting Arm (Program development, Abstract reviews)
NANOS Member Services Arm (Member recruitment and retention, DEI, Young and Mid-Career assistance programs, Pipeline building, WIN, International Relations strategy)
NANOS Practice Arm (Advocacy, Practice support, Productivity and Compensation, Value proposition, Workforce and Pipeline development strategy)
NANOS Research Arm (Research assistance, Grant Reviews, Publications/JNO )
10.
Are you willing to serve in an area other than your primary interest if we feel that your skillset will best suit NANOS in a different area?
Yes
No
Other (please specify)
11.
With the expansion of NANOS's goals and activities, we need more members who are willing to serve in leadership roles and help drive NANOS's mission. Are you interested in chairing or co-chairing a committee?
NOTE that members who have chaired NANOS committees, have a good working knowledge of NANOS, a track record of devoting time and energy to the organization, and proven leadership ability are usually nominated and approved for NANOS Board of Directors seats.
Yes
No
Other (please specify)
12.
Please contact me, as I would like to donate to the Society:
Yes, I would like to Donate
No, not at this time
Thank you for your willingness to contribute to the success of NANOS!