COMSEP Leadership Program – Course Faculty

Name(Required)

First Last

Institution(Required)

Title(Required)

Email(Required)

COMSEP Member

Yes

Describe faculty development activities you have created and lead(Required)

(200 words)

Describe leadership roles you have held in medical education and/or healthcare(Required)

(400 words)

Describe any leadership roles you have had in COMSEP(Required)

(400 words)

Briefly share what interests you about this position(Required)

(200 words)

Anything else you would like to share about yourself(Required)

(200 words)

Please indicate your preferred availability to develop curriculum and teach in the course(Required)

Year 1 content: in person teaching (April 2027) and in the longitudinal sessions (May 2027-March 2028).

Year 2 content: in person teaching (April 2028) and the longitudinal sessions (May 2028-March 2029)

Available for either (no preference)

Place Upload CV(Required)

Max. file size: 128 MB.