Pediatric Subspecialty Webinar Form

Council of Pediatric Subspecialties > Pediatric Subspecialty Webinar Form

Pediatric Subspecialty Webinar Series Form

Form Introduction Thank you for participating in the CoPS and COMSEP Pediatric Special Interest Network webinar series. Each specialty is asked to identify: One faculty panelist A trainee participant (optional but encouraged) Scheduling availability for the January-February webinar series Please submit one response per specialty.

SPECIALTY INFORMATION

FACULTY PANELIST

Faculty Panelist Name(Required)
Is the faculty panelist a current CoPS representative?(Required)

Trainee Participant

Will a trainee participate?(Required)
If YES, please provide:

Webinar Scheduling

Scheduling Availability

Each webinar will be approximately one hour in length. The dates below reflect the scheduling windows currently available to organizers. The final one-hour webinar time will be selected within the chosen window. 

Please select all dates that could accommodate participation from your specialty.

Which dates would work for your specialty?(Required)

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