Exit this survey >> 2019-2020 Get Involved with NANOS! Question Title * 1. First Name: Question Title * 2. Last Name: Question Title * 3. Email Address: Question Title * 4. NANOS Membership Category: Resident Fellow-in-training Active/International Active Fellow/International Fellow Senior/ Senior Fellow/ International Senior Question Title * 5. Indicate your training background (check all that apply): Neurology Ophthalmology Neuro-Ophthalmology Fellowship Other If other, please describe: Question Title * 6. Indicate your current position: Resident Fellow-in-Training Neurologist Ophthalmologist Neuro-Ophthalmologist Other Date of Survey Submission: Question Title * 7. Indicate your committee interest (select up to 4): AAN Committee AAO Committee AMA Taskforce Abstract Committee Advocacy Committee Audit Committee Bylaws Committee Continuing Medical Education (CME) Committee Curriculum Committee Demonstration of Neuro-Ophthalmology Value Committee Development Committee Ethics Committee Fellowship Committee Finance Committee Highlighting Neuro-Ophthalmology Advances Committee Informatics Committee International Relations Committee Investment Committee Membership Committee Membership Recruitment and Retention Committee Neuro-Ophthalmology Pipeline Taskforce NOVEL Committee NOVEL Editorial Board Committee Outcome Measures Committee Patient Information Committee Practice Support & Carrier Relations Committee Productivity & Compensation Committee Publications Committee Research Committee Scientific Program Committee Social Media Taskforce (new) Walsh Committee Women in Neuro-Ophthalmology (WIN) Committee Young Neuro-Ophthalmologists (YONO) Committee Question Title * 8. Please provide a summary of why you are interested in the committee(s) you have selected: Question Title * 9. Please check if you have specific expertise in the following topics (select all that apply) : Blogging and social medial HTML coding and smart phone Application development Advocacy Development of test questions Webpage development E-publishing Media experience Other If other, please describe: Question Title * 10. 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: Question Title * 11. Please contact me, as I would like to donate to the Society: Yes, I would like to Donate No, not at this time Question Title * 12. Other skills or areas of expertise: Question Title * 13. Other comments: Thank you for your willingness to contribute to the success of NANOS! Done >>