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Physician Presentation Opportunities
Thank you for your interest in lending your expertise to the EBAA Membership! Please use the form below to share the topics you would be interested in speaking on during a future meeting or program.
1.
Please enter your information below.
Name
Organization/ Affiliated Eye Bank
Email Address
2.
Are you a Medical Director for your eye bank?
Yes, I am the Medical Director or Co-Medical Director
Yes, I am an Associate Medical Director
Yes, I am an Assistant Medical Director
No
3.
Please select presentations formats that you would be interested in creating content or a presentation.
Annual Meeting presentation
Short Surgical Video for eyeLEARN
Recorded presentation for eyeLEARN
Webinar presentation
Other (please specify)
4.
Please indicate if you would be interested in presenting on any of the following topics at the Annual Meeting or at a future EBAA event or online program. Check all that apply.
Corneal Diseases (Audience: Eye Bankers)
Emerging Diseases (Audience: Medical Directors and Eye Bankers)
Innovations in Corneal Transplantation
Tissue Evaluation using Slit Lamp Microscopy (Audience: Eye Bankers)
Corneal Research
Tips for New Corneal Surgeons
Corneal Transplantation Procedures and Considerations (Audience: Eye Bankers)
Basic science of the eye/ Microbiology of the eye (Audience: Medical Directors and Eye Bankers)
Ocular Anatomy (Audience: Eye Bankers)
What a Medical Director Needs to Know About Slit Lamp Microscopy for Donor Tissue Evaluation (Audience: Medical Directors)
Reviewing research for publication or presentation (Audience: Medical Directors and Eye Bank Professionals)
Publishing research (Audience: Medical Directors and Eye Bank Professionals)
Playing an Active Role at your Eye Bank (Audience: Medical Directors)
Working on research with your eye bank (Audience: Medical Directors)
Preparing your eye bank for an Inspection (Audience: Medical Directors)
Eye Bank/Medical Director Communications in the digital era (Audience: Both)
Medical Director Dilemmas/ Case Studies (Audience: Medical Directors)
Tips for New Medical Directors
5.
Comments. Please use this space to include any comments about your answers above. Also, please let us know if you envision any of the topics above being presented with someone from your eye bank.
6.
Please use this space to list any topics that you would be interested in presenting to eye bank professionals or eye bank Medical Directors that are not listed above. Please list the topic and the intended audience.
Topic #1
Topic #2
Topic #3
7.
Comments. Please use this space to provide additional details regarding any of the topics you are proposing.
8.
Are you planning on attending the 2021 EBAA Annual Meeting (June 9-12, 2021)?
Yes
No
Depends on if held virtually or in person
9.
Are you interested in presenting during a webinar presentation?
Yes, depends on the date and time
No
10.
Are you interested in creating/providing short videos of a specific procedure or technique for eyeLEARN?
Yes
No
11.
Are you interested in being contacted about possible presentation opportunities that are not listed here?
Yes
No
Other (please specify)
12.
Presentation Topic/ Speaker Suggestions: Please list any suggestions you may have for speakers and topics to include at the Annual Meeting or during the Cornea and Eye Banking Forum.
13.
Additional Comments. Please use this space to include any additional comments you would like to share.
