Women in Vision UK

Please answer all questions based on your achievements between September 2017 and August 2018

Question Title

* 1. What is your job role?

Academic

Post-doc

Training (PhD, Masters, Undergraduate, Research Associate)

Consultant Ophthalmologist

Clinical Fellow

Trainee Ophthalmologist

Other medical (e.g. foundation doctor, medical student)

Optometrist

Orthoptist

Fundraising/Charity

Administration/support

Other (please specify)

Question Title

* 2. In which geographical area of the UK are you based?

London

North-East England

North-West England

Midlands

South-East England

South-West England

Scotland

Wales

Northern Ireland

Other (please specify)

Question Title

* 3. What is your area of interest?

Corneal and external

Cataract

Glaucoma

Inherited Retinal disease

Macular Degeneration

Diabetic Retinopathy

Retinal vascular disease

Vitreoretinal

Childhood onset/ paediatric ophthalmology

Neuro-ophthalmology

Ocular cancer

Ocular inflammatory disease

Refractive error

Oculoplastics

Other (please Specify)

Question Title

* 4. Please list up to 5 keywords describing your subspecialist interest

Question Title

* 5. How many of the following did you achieve between September 2017-August 2018?: Research grants

	0	1	2	>2	N/A
Research grant submitted >£150K as PI	Research grant submitted >£150K as PI 0	Research grant submitted >£150K as PI 1	Research grant submitted >£150K as PI 2	Research grant submitted >£150K as PI >2	Research grant submitted >£150K as PI N/A
Research Grant submitted < £150K as PI	Research Grant submitted < £150K as PI 0	Research Grant submitted < £150K as PI 1	Research Grant submitted < £150K as PI 2	Research Grant submitted < £150K as PI >2	Research Grant submitted < £150K as PI N/A
Research grant submitted >£150K as Co-I	Research grant submitted >£150K as Co-I 0	Research grant submitted >£150K as Co-I 1	Research grant submitted >£150K as Co-I 2	Research grant submitted >£150K as Co-I >2	Research grant submitted >£150K as Co-I N/A
Research Grant submitted < £150K as Co-I	Research Grant submitted < £150K as Co-I 0	Research Grant submitted < £150K as Co-I 1	Research Grant submitted < £150K as Co-I 2	Research Grant submitted < £150K as Co-I >2	Research Grant submitted < £150K as Co-I N/A
Outline submitted as PI	Outline submitted as PI 0	Outline submitted as PI 1	Outline submitted as PI 2	Outline submitted as PI >2	Outline submitted as PI N/A
Outline submitted as Co-I	Outline submitted as Co-I 0	Outline submitted as Co-I 1	Outline submitted as Co-I 2	Outline submitted as Co-I >2	Outline submitted as Co-I N/A
Research Grants won as PI	Research Grants won as PI 0	Research Grants won as PI 1	Research Grants won as PI 2	Research Grants won as PI >2	Research Grants won as PI N/A
Research Grants won as Co-I	Research Grants won as Co-I 0	Research Grants won as Co-I 1	Research Grants won as Co-I 2	Research Grants won as Co-I >2	Research Grants won as Co-I N/A
Research Fellowship: doctoral/ post doctoral/ investigator/ clinician scientist	Research Fellowship: doctoral/ post doctoral/ investigator/ clinician scientist 0	Research Fellowship: doctoral/ post doctoral/ investigator/ clinician scientist 1	Research Fellowship: doctoral/ post doctoral/ investigator/ clinician scientist 2	Research Fellowship: doctoral/ post doctoral/ investigator/ clinician scientist >2	Research Fellowship: doctoral/ post doctoral/ investigator/ clinician scientist N/A

Other (please specify)

Question Title

* 6. Peer review

	0	1	2	>2
Editorial board membership - please indicate number of editorial boards	Editorial board membership - please indicate number of editorial boards 0	Editorial board membership - please indicate number of editorial boards 1	Editorial board membership - please indicate number of editorial boards 2	Editorial board membership - please indicate number of editorial boards >2
Peer review of papers - please indicate number of papers reviewed	Peer review of papers - please indicate number of papers reviewed 0	Peer review of papers - please indicate number of papers reviewed 1	Peer review of papers - please indicate number of papers reviewed 2	Peer review of papers - please indicate number of papers reviewed >2
Peer review of grants - please indicate number grants reviewed	Peer review of grants - please indicate number grants reviewed 0	Peer review of grants - please indicate number grants reviewed 1	Peer review of grants - please indicate number grants reviewed 2	Peer review of grants - please indicate number grants reviewed >2

Other (please specify)

Question Title

* 7. How many of the following Committees/ Faculties were you a member of between September 2017-August 2018?

	0	1	2	>2
Committee Chair in own department	Committee Chair in own department 0	Committee Chair in own department 1	Committee Chair in own department 2	Committee Chair in own department >2
Committee membership in own department	Committee membership in own department 0	Committee membership in own department 1	Committee membership in own department 2	Committee membership in own department >2
Clinical trial steering group/ committee member	Clinical trial steering group/ committee member 0	Clinical trial steering group/ committee member 1	Clinical trial steering group/ committee member 2	Clinical trial steering group/ committee member >2
Recruitment Faculty Role	Recruitment Faculty Role 0	Recruitment Faculty Role 1	Recruitment Faculty Role 2	Recruitment Faculty Role >2
Faculty/University Committee membership	Faculty/University Committee membership 0	Faculty/University Committee membership 1	Faculty/University Committee membership 2	Faculty/University Committee membership >2
External grant advisory panel	External grant advisory panel 0	External grant advisory panel 1	External grant advisory panel 2	External grant advisory panel >2
National research advisory role.	National research advisory role. 0	National research advisory role. 1	National research advisory role. 2	National research advisory role. >2
International research advisory role	International research advisory role 0	International research advisory role 1	International research advisory role 2	International research advisory role >2
Other external committees and panels	Other external committees and panels 0	Other external committees and panels 1	Other external committees and panels 2	Other external committees and panels >2

Other (please specify)

Question Title

* 8. How many of the following publications did you achieve between September 2017- August 2018?

	0	1-2	3-5	>5
Paper submitted as senior author	Paper submitted as senior author 0	Paper submitted as senior author 1-2	Paper submitted as senior author 3-5	Paper submitted as senior author >5	Paper submitted as senior author
Paper submitted as first author	Paper submitted as first author 0	Paper submitted as first author 1-2	Paper submitted as first author 3-5	Paper submitted as first author >5	Paper submitted as first author
Paper submitted as co-author	Paper submitted as co-author 0	Paper submitted as co-author 1-2	Paper submitted as co-author 3-5	Paper submitted as co-author >5	Paper submitted as co-author
Reviews / Book Chapters submitted	Reviews / Book Chapters submitted 0	Reviews / Book Chapters submitted 1-2	Reviews / Book Chapters submitted 3-5	Reviews / Book Chapters submitted >5	Reviews / Book Chapters submitted
Published journal article as senior author	Published journal article as senior author 0	Published journal article as senior author 1-2	Published journal article as senior author 3-5	Published journal article as senior author >5	Published journal article as senior author
Published journal article as first author	Published journal article as first author 0	Published journal article as first author 1-2	Published journal article as first author 3-5	Published journal article as first author >5	Published journal article as first author
Published journal article as co- author	Published journal article as co- author 0	Published journal article as co- author 1-2	Published journal article as co- author 3-5	Published journal article as co- author >5	Published journal article as co- author
Review published	Review published 0	Review published 1-2	Review published 3-5	Review published >5	Review published
Book/chapter published	Book/chapter published 0	Book/chapter published 1-2	Book/chapter published 3-5	Book/chapter published >5	Book/chapter published

Other (please specify)

Question Title

* 9. How many of the following lectures/ presentations did you deliver between September 2017- August 2018?

	0	1-2	3-5	>5
Keynote lectures	Keynote lectures 0	Keynote lectures 1-2	Keynote lectures 3-5	Keynote lectures >5
International conference: Invited symposium speaker	International conference: Invited symposium speaker 0	International conference: Invited symposium speaker 1-2	International conference: Invited symposium speaker 3-5	International conference: Invited symposium speaker >5
International conference: Poster	International conference: Poster 0	International conference: Poster 1-2	International conference: Poster 3-5	International conference: Poster >5
International conference: Short talk (selected from abstract)	International conference: Short talk (selected from abstract) 0	International conference: Short talk (selected from abstract) 1-2	International conference: Short talk (selected from abstract) 3-5	International conference: Short talk (selected from abstract) >5
National conference: Invited symposium speaker	National conference: Invited symposium speaker 0	National conference: Invited symposium speaker 1-2	National conference: Invited symposium speaker 3-5	National conference: Invited symposium speaker >5
National conference: Poster	National conference: Poster 0	National conference: Poster 1-2	National conference: Poster 3-5	National conference: Poster >5
National conference: Short talk (selected from abstract)	National conference: Short talk (selected from abstract) 0	National conference: Short talk (selected from abstract) 1-2	National conference: Short talk (selected from abstract) 3-5	National conference: Short talk (selected from abstract) >5
Regional/ local conference: Invited symposium speaker	Regional/ local conference: Invited symposium speaker 0	Regional/ local conference: Invited symposium speaker 1-2	Regional/ local conference: Invited symposium speaker 3-5	Regional/ local conference: Invited symposium speaker >5
Regional/ local conference: Poster	Regional/ local conference: Poster 0	Regional/ local conference: Poster 1-2	Regional/ local conference: Poster 3-5	Regional/ local conference: Poster >5
Regional/ local conference: Short talk (selected from abstract)	Regional/ local conference: Short talk (selected from abstract) 0	Regional/ local conference: Short talk (selected from abstract) 1-2	Regional/ local conference: Short talk (selected from abstract) 3-5	Regional/ local conference: Short talk (selected from abstract) >5
Medical student/ undergraduate / postgraduate course lecturer	Medical student/ undergraduate / postgraduate course lecturer 0	Medical student/ undergraduate / postgraduate course lecturer 1-2	Medical student/ undergraduate / postgraduate course lecturer 3-5	Medical student/ undergraduate / postgraduate course lecturer >5
Organising Conference	Organising Conference 0	Organising Conference 1-2	Organising Conference 3-5	Organising Conference >5

Other (please specify)

Question Title

* 10. How many of the following prizes were you awarded between September 2017- August 2018?

	0	1	2	>2
Nominations to External Bodies and Prizes	Nominations to External Bodies and Prizes 0	Nominations to External Bodies and Prizes 1	Nominations to External Bodies and Prizes 2	Nominations to External Bodies and Prizes >2
Nominations to Local/ University committees and prizes	Nominations to Local/ University committees and prizes 0	Nominations to Local/ University committees and prizes 1	Nominations to Local/ University committees and prizes 2	Nominations to Local/ University committees and prizes >2
Awarded / appointed to External Bodies / Prizes	Awarded / appointed to External Bodies / Prizes 0	Awarded / appointed to External Bodies / Prizes 1	Awarded / appointed to External Bodies / Prizes 2	Awarded / appointed to External Bodies / Prizes >2
Awarded / appointed to Local/ University Committees / Prizes	Awarded / appointed to Local/ University Committees / Prizes 0	Awarded / appointed to Local/ University Committees / Prizes 1	Awarded / appointed to Local/ University Committees / Prizes 2	Awarded / appointed to Local/ University Committees / Prizes >2

Other (please specify)

Question Title

* 11. If you are a member of a research team, how many of the following did you achieve between September 2017-August 2018

	0	1-2	3-5	>5	N/A
Head of research team – number of members	Head of research team – number of members 0	Head of research team – number of members 1-2	Head of research team – number of members 3-5	Head of research team – number of members >5	Head of research team – number of members N/A
PhD student supervised	PhD student supervised 0	PhD student supervised 1-2	PhD student supervised 3-5	PhD student supervised >5	PhD student supervised N/A
MD student supervised	MD student supervised 0	MD student supervised 1-2	MD student supervised 3-5	MD student supervised >5	MD student supervised N/A
MSc/BSc students supervised	MSc/BSc students supervised 0	MSc/BSc students supervised 1-2	MSc/BSc students supervised 3-5	MSc/BSc students supervised >5	MSc/BSc students supervised N/A
Supervisor of research fellow	Supervisor of research fellow 0	Supervisor of research fellow 1-2	Supervisor of research fellow 3-5	Supervisor of research fellow >5	Supervisor of research fellow N/A
Supervisor of medical student project	Supervisor of medical student project 0	Supervisor of medical student project 1-2	Supervisor of medical student project 3-5	Supervisor of medical student project >5	Supervisor of medical student project N/A

Other (please specify)

Question Title

* 12. Public engagement and outreach (contribution to event or organisation)

	0	1-2	3-5	>5
Public engagement and outreach (events attended/organised)	Public engagement and outreach (events attended/organised) 0	Public engagement and outreach (events attended/organised) 1-2	Public engagement and outreach (events attended/organised) 3-5	Public engagement and outreach (events attended/organised) >5
Media work (eg. Interviews)	Media work (eg. Interviews) 0	Media work (eg. Interviews) 1-2	Media work (eg. Interviews) 3-5	Media work (eg. Interviews) >5
Publicity materials (e.g articles mentioning you)	Publicity materials (e.g articles mentioning you) 0	Publicity materials (e.g articles mentioning you) 1-2	Publicity materials (e.g articles mentioning you) 3-5	Publicity materials (e.g articles mentioning you) >5

Other (please specify)

Question Title

* 13. Mentorship/ Supervision

Acting as mentor (number of mentees- not counting own staff, please indicate in comment field below)

Clinical trainee educational supervisor

Clinical training programme College tutor

Clinical training programme Head of school

Comment

Question Title

* 14. Regarding clinical Trials, how many of the following did you achieve between September 2017-August 2018?

	0	1	2	>2	N/A
Commercial clinical trials PI	Commercial clinical trials PI 0	Commercial clinical trials PI 1	Commercial clinical trials PI 2	Commercial clinical trials PI >2	Commercial clinical trials PI N/A
Commercial clinical trials sub-investigator	Commercial clinical trials sub-investigator 0	Commercial clinical trials sub-investigator 1	Commercial clinical trials sub-investigator 2	Commercial clinical trials sub-investigator >2	Commercial clinical trials sub-investigator N/A
Investigator led clinical trial Chief Investigator	Investigator led clinical trial Chief Investigator 0	Investigator led clinical trial Chief Investigator 1	Investigator led clinical trial Chief Investigator 2	Investigator led clinical trial Chief Investigator >2	Investigator led clinical trial Chief Investigator N/A
Investigator led clinical trial PI	Investigator led clinical trial PI 0	Investigator led clinical trial PI 1	Investigator led clinical trial PI 2	Investigator led clinical trial PI >2	Investigator led clinical trial PI N/A
Investigator led clinical trial coPI	Investigator led clinical trial coPI 0	Investigator led clinical trial coPI 1	Investigator led clinical trial coPI 2	Investigator led clinical trial coPI >2	Investigator led clinical trial coPI N/A
Investigator led clinical trial sub investigator	Investigator led clinical trial sub investigator 0	Investigator led clinical trial sub investigator 1	Investigator led clinical trial sub investigator 2	Investigator led clinical trial sub investigator >2	Investigator led clinical trial sub investigator N/A
NIHR clinical trial Chief Investigator	NIHR clinical trial Chief Investigator 0	NIHR clinical trial Chief Investigator 1	NIHR clinical trial Chief Investigator 2	NIHR clinical trial Chief Investigator >2	NIHR clinical trial Chief Investigator N/A
NIHR clinical trial PI	NIHR clinical trial PI 0	NIHR clinical trial PI 1	NIHR clinical trial PI 2	NIHR clinical trial PI >2	NIHR clinical trial PI N/A
NIHR clinical trial co-PI	NIHR clinical trial co-PI 0	NIHR clinical trial co-PI 1	NIHR clinical trial co-PI 2	NIHR clinical trial co-PI >2	NIHR clinical trial co-PI N/A
NIHR clinical trial sub investigator	NIHR clinical trial sub investigator 0	NIHR clinical trial sub investigator 1	NIHR clinical trial sub investigator 2	NIHR clinical trial sub investigator >2	NIHR clinical trial sub investigator N/A
BRC Lead	BRC Lead 0	BRC Lead 1	BRC Lead 2	BRC Lead >2	BRC Lead N/A
BRC project involvement	BRC project involvement 0	BRC project involvement 1	BRC project involvement 2	BRC project involvement >2	BRC project involvement N/A

Other (please specify)

Question Title

* 15. How many independent teams do you collaborate with?

	0	1	2	>2	N/A
Collaborations local	Collaborations local 0	Collaborations local 1	Collaborations local 2	Collaborations local >2	Collaborations local N/A
Collaborations regional	Collaborations regional 0	Collaborations regional 1	Collaborations regional 2	Collaborations regional >2	Collaborations regional N/A
Collaborations national	Collaborations national 0	Collaborations national 1	Collaborations national 2	Collaborations national >2	Collaborations national N/A
Collaborations international	Collaborations international 0	Collaborations international 1	Collaborations international 2	Collaborations international >2	Collaborations international N/A

Other (please specify)

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* 16. If you have any other significant achievements not covered by the questions above within this time frame (Sept 2017- Aug 2018) or previously that you would like to include, please describe below.

Question Title

* 17. Do you feel you have benefited from the network and/or first WVUK meeting already? If yes, please provide details in comment box below.

Yes

Other (please specify)

Women in Vision UK

Please answer all questions based on your achievements between September 2017 and August 2018

Question Title

* 1. What is your job role?

Question Title

* 2. In which geographical area of the UK are you based?

Question Title

* 3. What is your area of interest?

Question Title

* 4. Please list up to 5 keywords describing your subspecialist interest

Question Title

* 5. How many of the following did you achieve between September 2017-August 2018?: Research grants

Question Title

* 6. Peer review

Question Title

* 7. How many of the following Committees/ Faculties were you a member of between September 2017-August 2018?

Question Title

* 8. How many of the following publications did you achieve between September 2017- August 2018?

Question Title

* 9. How many of the following lectures/ presentations did you deliver between September 2017- August 2018?

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* 10. How many of the following prizes were you awarded between September 2017- August 2018?

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* 11. If you are a member of a research team, how many of the following did you achieve between September 2017-August 2018

Question Title

* 12. Public engagement and outreach (contribution to event or organisation)

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* 13. Mentorship/ Supervision

Question Title

* 14. Regarding clinical Trials, how many of the following did you achieve between September 2017-August 2018?

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* 15. How many independent teams do you collaborate with?

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* 16. If you have any other significant achievements not covered by the questions above within this time frame (Sept 2017- Aug 2018) or previously that you would like to include, please describe below.

Question Title

* 17. Do you feel you have benefited from the network and/or first WVUK meeting already? If yes, please provide details in comment box below.

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* 18. What is the one thing the network could do that would be most helpful to you?

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* 19. What is the one thing the network should/could do that would make the most difference to women in vision’s profiles?