Screen Reader Mode Icon

The Visibility Project

Please take a moment to fill out the form for the Visibility Project.
 
The information you provide will help to promote 2SLGTBQ+ visibility in the Canadian Emergency Medicine community. Representation matters. By sharing your story you will promote inclusivity, visibility, and acceptance within Emergency Medicine for those that identify with the 2SLGBTQ+ community, are allies, or are hoping to learn more about how they can be advocates within Emergency Medicine.

Please note, your responses will be shared to the CAEP website in hopes of exposing future EM learners and practitioners to our Visibility Project. *If you wish to have any parts of the survey not shared, please leave those questions unanswered.
 
Thank you for taking the time to provide this information and promote inclusivity within Emergency Medicine.

Question Title

* 1. Name

Question Title

* 2. Pronouns

Question Title

* 3. Social Media Accounts:

Question Title

* 4. Medical School:

Question Title

* 5. Residency Training:

Question Title

* 6. Fellowships:

Question Title

* 7. Area/Location/Department/University association of Practice

Question Title

* 8. What drew you to Emergency Medicine as a learner?

Question Title

* 9. What lessons have you found particularly useful through your training and practice?

Question Title

* 10. Who or what has been your biggest motivator?

Question Title

* 11. How do you feel your identity (2SLGBTQIA+ or otherwise) has influenced your career decisions?

Question Title

* 12. What are your interests outside of medicine?

Question Title

* 13. Describe one of your biggest wins:

Question Title

* 14. Describe one of your biggest challenges:

Question Title

* 15. Describe the impact of the work you do in Emergency Medicine on your community and marginalized groups:

Question Title

* 16. Is there any advice you would you give specific to a 2SLGBTQIA+ identifying medical student considering emergency medicine as a specialty relating to their career and their 2SLGBTQIA+ identity?

Question Title

* 17. Is there any advice you would give specific to a 2SLGTBQIA+ identifying resident in an emergency medicine training program relating to their career and their 2SLGBTQIA+ identity?

Question Title

* 18. Are you open to be contacted for mentorship?

Question Title

* 19. Feel free to submit a photo of yourself or a photo of you and your family/partner! This will be used on the website and social media.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File
0 of 19 answered
 

T