AMSA Premed Chapter at the University of Iowa
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Speakers' Bureau Form
IowAMSAPremed
Speakers' Bureau
Thank you for taking the time to register as a prospective speaker with our chapter. We are very indebted to those like yourself who donate their extra time and energy to supporting AMSA and the University of Iowa Community.
Please take your time in completing the following form. The more thorough your responses, the better able we will be to accomodate and incorporate your abilities for our chapter and members. Fields marked with an asterisk are required. Your information will only be used in consideration of chapter programming, and maintained by our chapter executive officers.
General Information
*Name:
AMSA 6-digit ID (If applicable)
*What leadership role(s) or AMSA activities did you participate in as a student member of AMSA?
*Medical or Graduate School:
*Graduation Year:
*Current Specialty or Profession
*Professional Activities:
Home Address:
*Contact Phone:
*Contact Email:
Join Our Speakers' Bureau
*I can speak on the following topic(s):
Business of Medicine
Child and Adolescent Health
Community and Environmental Health
Culture of Medicine
Death and Dying
Direct Action
Disabilities
Disparities in Medicine
Diversity in Medicine
Gender and Sexuality
Geriatrics
Global Health
Grassroots Leadership
Health Policy
Humanistic Medicine
Medical Education
Medical Student Well-Being
Military Medicine
Race, Ethnicity and Culture in Health
Neurology
Osteopathy
PharmFree
Primary Care
Psychiatry
Resident Work Hours
Revitalizing Professionalism
Surgery
Health Care for All
Naturopathic Medicine
Nursing
Physicians Assistant
Dentistry
Womens' Health
Other:
*Please include applicable titles of talks and/or BRIEF descriptions in the text box:
*Are you willing to travel to speak to students?
Yes
No
*When are you best available?
Afternoons
Nights
Weekdays
Weekends
* AMSA has a email-based listserve for most of these topic areas. If you would like to subscribe to any of these lists, please visit the
listserve page
. All subscriber emails are used solely for the purpose of the list and are not released to any outside parties. In addition, you may unsubscribe yourself at any time from any lists.
**We also encourage you to consider joining as one of our Resident, Alumni, or Supporting Affiliate members through AMSA. See the AMSA National website for more details:
Join