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ACVIM Diplomate - Key Opinion Leader Information Form

The ACVIM has identified a new strategic objective that involves positioning ACVIM Diplomates as trusted and influential key opinion leaders, which involves creating intentional pathways for Diplomates to have representation on key advisory panels, guideline committees, and other relevant and influential groups. As part of this initial analysis, we are interested in learning more about your areas of expertise and which veterinary organizations you have key volunteer or leadership involvement.
1.What is your name?
2.What is your preferred work related email address?
3.What is your ACVIM member ID# (if known)?
4.What are your ACVIM Board-certification specialties? Select all that apply.
5.Please select any organizations that influence veterinary medicine, policy, standards, and public perception within organized veterinary or human medicine for which you are currently a significant volunteer or in a leadership position. Select all that apply.
6.Please provide details (roles, specific sub-committees, etc.) for all organizations selected in the previous question.
7.For which topics have you published research and would be comfortable speaking about publicly as a designated expert? Select all that apply.
8.Do you regularly or have you spoken at other veterinary conferences? Please select all that apply.
9.If you have received any professional awards or other recognition from outside the ACVIM, please specify here.
10.Are you interested in being contacted for media or public commentary opportunities related to your expertise?
11.If you have an active social media following within the veterinary community, please provide social media handles.
12.If you have an active podcast within the veterinary community, please provide a link to your platform.