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BSSH Instructional Course in Hand Surgery (ICHS) Organising Committee Chair Application Form - Series 10

1.Full name(Required.)
2.Email address(Required.)
3.Town/City/County(Required.)
4.Are you a fellow member of the BSSH?(Required.)
5.Please confirm you have been a consultant for more than 3 years?(Required.)
6.Which year did you become a member of BSSH?(Required.)
7.Plastic or Orthopaedic Specialty?(Required.)
8.Have you been a part of any BSSH Committees or working groups?

Please list committee membership with dates.(Required.)
9.Have you been a part of any non BSSH Committees or working groups that have provided relevant experience for this role?

Please list membership with dates.(Required.)
10.How many BSSH Instructional Courses have you attended?(Required.)
11.How many BSSH Scientific meetings have you attended in the last 5 years?(Required.)
12.Particular area of interest or expertise in hand surgery?(Required.)
13.Please describe any teaching experience you may have?(Required.)
14.Please describe any lecturing experience you may have?(Required.)
15.Please let us know why you would like to be the Chair of this Committee?(Required.)
16.What organisational skills do you have that would be beneficial to chairing the ICHS Committee?(Required.)
17.Please list any other skills and/or experience you have that would be beneficial to chairing the ICHS Committee.(Required.)
18.Do you have any suggestions to improve the course structure and/or format?(Required.)
19.Where do you see the course developing over the next series?(Required.)
20.Do you have the time available for this commitment? Please list any other significant commitments during the term (with dates) – e.g. clinical/medical director, roles with other societies or associations?(Required.)