Who Are Our LMSA Alumni and Chapter Advisors? LMSA Directory

Who Are Our LMSA Alumni and Chapter Advisors? - LMSA Directory
Dear LMSA Alumni and Chapter Advisors: The LMSA Alumni and Chapter Advisors play a critical role in advising LMSA chapter, regional and/or national members on their strategic plan, annual activities and personal and professional development.

The information collected will help us build and strengthen our national network of support for our LHS+ (Latino/Latina/Latinx/Latine, Hispanic, or of Spanish Origin +) trainees across the country. Please take a moment to provide your information. The survey takes approximately 10 minutes to complete.

If you have any questions please email LMSA National, Executive Director J.P. Sanchez MD, MPH at exec.director@lmsa.net or LMSA FPAC National Center Director, Deion Ellis MD MMS dlellis@salud.unm.edu

Please complete by September 1st
Email *
example@example.com
Name *

First Name Last Name
Degrees (Please Select All that Apply) *

MD DO PhD MBA MPH JD PharmD Other
Current Institution/Place of Employment *
If 'Other' selected in above question, please elaborate below:
Phone Number *
Please enter a valid phone number.
What is your gender? *

Male/Man Female/Woman Transmale/Transman Transfemale/Transwoman Genderqueer/Gender Nonconforming Do not wish to respond
What is your sexual orientation? *

Straight Gay Bisexual Do not wish to respond
If LHS+ - what is your background by family country or territory of origin (e.g. Mexican, Puerto Rican, Dominican, Ecuadorian, etc.?)
What position(s) do you currently hold?

Resident Fellow Private Practice Faculty Member Government Position Pharmaceuticals Administration Other
If 'Other' selected in above question, please elaborate below:
LMSA ALUMNI

Please complete this section if you are an alumnist of LMSA or one of the preceding regional groups that formed LMSA National (i.e. NBLHO, BHO, LMSA West, CMSA, LaRAMA, HAMSA, TAMSA, etc.)
What is the full name of the medical school you attended?
What year did you graduate from medical school?
What role(s) did you hold as a medical student? (Please Select All that Apply)

Chapter Member Chapter Leader Regional Member Regional Leader National Member National Leader
If applicable, as a chapter, regional, or national leader what activities did you focus on?

President Internal Affairs External Affairs Membership Parliamentarian Informations Officer Finances Development Fundraising Policy Publication Regional or National Conference Chair Scholarship Service Webmaster Other
If 'Other' selected in above question, please elaborate below:
How would you like to be engaged with LMSA on the chapter, regional, and/or national levels?
As an alumnist what type of programming at the regional or national conferences would inspire you to attend the conferences?
4-6 Alumni meetings will be organized for on a yearly basis. The meetings are to provide an update on LMSA activities and issues affecting our membership and alumni. Mark each day and time that works for your participation in a national faculty advisor meeting? (Please Select All that Apply)

Wednesday 12-12:45pm EST Wednesday 1-1:45pm EST Wednesday 4-4:45pm EST Thursday 5-5:45pm EST Thursday 6-6:45pm EST Sunday 7-7:45pm EST Other
LMSA CHAPTER ADVISOR
For how long have you been the chapter advisor?

< 1 year 1 year 2 years 3 years 4 years 5 - 9 years 10+ years
Which academic department(s) are you affiliated with (for example, anatomy, pediatrics, etc.)
What is your faculty rank?

Volunteer Faculty Adjunct Faculty Instructor Assistant Associate Full Emeritus Tenure Other
If 'Other' selected in above question, please elaborate below:
We want to make sure that the role as advisor can help you in your promotion. When will you be up for academic promotion?

1 - 2 years 3 - 4 years 5 or more years
What is your track?

Educator Research Clinical Other
If 'Other' selected in above question, please elaborate below:
Please list any other titles (Dean, Residency Director, Chair, etc.)?
What is your area of clinical, research, education, and/or service interest? (This information is extremely helpful for students in identifying potential speakers)
What have been the benefits of serving as faculty advisor?
4-6 professional development meetings will be organized for faculty advisors on a yearly basis. The meetings are to provide an update on LMSA activities and issues affecting our membership and advisors. Mark each day and time that works for your participation in a national faculty advisor meeting?

Wednesday 12-12:45pm EST Wednesday 1-1:45pm EST Wednesday 4-4:45pm EST Thursday 5-5:45pm EST Thursday 6-6:45pm EST Sunday 7-7:45pm EST Other
If applicable, please write and name and email address of any official co-faculty advisors for your chapter?
Would you like to participate on any of the following committees:

Regional Conference(s) Advisor Training Track at National Conference Leadership Development for LMSA Leaders Health Policy Summit
As a Chapter Advisor what type of programming at the regional or national conferences would inspire you to attend the conferences?
Any topics or issues you would like for LMSA National or the faculty advisors to consider?
Should be Empty:

Who Are Our LMSA Alumni and Chapter Advisors? - LMSA Directory

LMSA ALUMNI

LMSA CHAPTER ADVISOR