Your Name * What education topics interest you? * Do you prefer external or internal education? * External = education at/to facilities, professional associations, conferences, community, etc. Internal = education at/to TeleSpecialists physicians, APPs, nurses, navigators, etc. Both external and internalExternal onlyInternal onlyOther... Do you prefer external or internal education? Other... Who makes up your ideal target audience? * Open to all audiences (physicians, nurses, other medical professionals, and community) Neurologists at TS Psychiatrists at TS Physicians at Facilities (all specialties) Advanced Practice (APRNs, PAs, etc) Nurses (RN, LPN) Other medical professionals (PT, OT, ST, pharmacy, etc) Community Other... Who makes up your ideal target audience? Other... Are you interested in participating in a lecture series? * A lecture series is comprised of 4 or more educational activities on a regular cadence, such as monthly, bimonthly, or quarterly. (Examples: thrombolytic contraindications, women's neurology, interesting cases, etc.) Yes, I am open to participating as a main speaker for a lecture series (will speak for all topics in a series at preferred cadence) Yes, I am open to participating, but would prefer 1 or 2 activities for which I would be the main speaker No, I am not interested in participating in a lecture series Other... Are you interested in participating in a lecture series? Other... What is your social media handle? Optional Leave this field blank
