Physician Presentation Opportunities Survey

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.

Question Title

* 1. Please enter your information below.

Name

Organization/ Affiliated Eye Bank

Email Address

Question Title

* 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

Question Title

* 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)

Question Title

* 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

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* 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.

Question Title

* 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

Question Title

* 7. Comments. Please use this space to provide additional details regarding any of the topics you are proposing.

Question Title

* 8. Are you planning on attending the 2021 EBAA Annual Meeting (June 9-12, 2021)?

Yes

Depends on if held virtually or in person

Question Title

* 9. Are you interested in presenting during a webinar presentation?

Yes, depends on the date and time

Question Title

* 10. Are you interested in creating/providing short videos of a specific procedure or technique for eyeLEARN?

Yes

Question Title

* 11. Are you interested in being contacted about possible presentation opportunities that are not listed here?

Yes

Other (please specify)

Question Title

* 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.

Physician Presentation Opportunities

Question Title

* 1. Please enter your information below.

Question Title

* 2. Are you a Medical Director for your eye bank?

Question Title

* 3. Please select presentations formats that you would be interested in creating content or a presentation.

Question Title

* 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.

Question Title

* 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.

Question Title

* 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.

Question Title

* 7. Comments. Please use this space to provide additional details regarding any of the topics you are proposing.

Question Title

* 8. Are you planning on attending the 2021 EBAA Annual Meeting (June 9-12, 2021)?

Question Title

* 9. Are you interested in presenting during a webinar presentation?

Question Title

* 10. Are you interested in creating/providing short videos of a specific procedure or technique for eyeLEARN?

Question Title

* 11. Are you interested in being contacted about possible presentation opportunities that are not listed here?

Question Title

* 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.

Question Title

* 13. Additional Comments. Please use this space to include any additional comments you would like to share.