Application Form - Ask the Expert session proposals Survey

Here is your opportunity to present to an international audience!

The International Society for Sexual Medicine is launching a new initiative called the “Ask the Expert” program.
These virtual sessions will allow attendees to hear from and converse with expert thought and opinion leaders and innovators in the field of Sexual Medicine and Sexual Health. Limited registration for these sessions will allow for intimate and informal conversation.

The program will cover all aspects of sexual medicine & health and will include a variety of world renowned experts providing in-depth insight in their specialty and best practices for Sexual Medicine specialists.

There are still some spaces left and we are looking for interactive Ask the Expert virtual session proposals for 2021. If you have one in mind, please submit your proposal by June 15, 2021 through the following application form.

1.Name (firstname, lastname)(Required.)

2.Title(Required.)

3.Affiliation(Required.)

4.Your e-mail address(Required.)

5.Country(Required.)

6.Please upload your CV in word/pdf here

No file chosen

7.What is your expert topic/competence (title for the session)?(Required.)

8.Briefly outline why you are an expert in this topic(Required.)

9.What is the target audience? (i.e. Allied Health Professionals, Fellows and/or Physicians)(Required.)

10.What is the level of the session? (i.e. basic or advanced)(Required.)

11.What are the aims and objectives of your session?(Required.)

12.Please provide a short description of the session(Required.)

13.Keywords(Required.)

14.What would be your preferred language to organize the session in?(Required.)

Your submission will be reviewed by the program committee and we will try to get back to you within 3 weeks. If you are not chosen in the first wave, please note that additional experts will be included in a subsequent wave of the program.