ABEA 2020 Active Membership Application

Please complete all required fields and as many optional fields as relevant to improve the committee’s understanding and potential impact of your proposal

Name

First NameLast Name

Email

example@example.com

Topic Name: The American Broncho-Esophagological Association Clinical Consensus Statements on*

Corresponding/ProposingAuthor *

Your name, title and affiliation(s)

Position Statement Liaison *

This should be an active ABEA member, preferably someone who is serving on your Position Statement creation task force.

ABEA Community Relevancy - How will the publication of this clinical consensus statement be relevant to the clinical voice, airway and swallowing practices of ABEA members? *

(max 250 words)0/250

Purpose/Need- What deficit in the medical literature or need/controversy in clinical practice will this clinical consensus statement address?*

(max 250 words)0/250

Clinical Decision Making- How will this work’s position augment the clinical decision-making process for ABEA members and other voice, airway and swallowing clinicians? *

(max 250 words)0/250

Candidate Task Force Members- Identify experts to serve on the position statement paneland a brief justification for their inclusion. The task forces should becomprised of at least 50% ABEA members with exception being available by voteof the Clinical Consensus Statement Committee (CCSC)*

Methodology/Methodologist- Describe the planned methodology for the creation of theproposed clinical consensus statement. While not a requirement, but highlyrecommended if the authors are not experts in consensus statement creation andmethodology, please identify your collaborating methodologist withexperience in expert consensus statement creation.

(max 500 words) 0/500

Collaboration with experts outside of ABEA-Identify task force members from outside of the ABEA infield such as foregut surgery, gastroenterology, pulmonology, allergy/immunology and speech-language pathology that would add to the scientific rigor of the clinical consensus statement are strongly advised.

(max 250 words)0/250

Patient Education-Will the clinical consensus statement include a componentdealing with the patient experience or patient education?

(max 250 words)0/250

Patient Advocacy and Policy- Could the creation of this clinical consensus statementhave an impact on health care policy or be relevant to patient advocacy?

(max 250 words)0/250

ABEA Clinical Consensus Statements Topic Submission Application