WPA Speaker Bureau Sign-Up

WPA Speaker Bureau Sign-Up
We're excited to introduce the new Wisconsin Psychiatric Association (WPA) Speaker Bureau, exclusively for physician members of WPA. As a member of the WPA, you'll have the opportunity to share your expertise at conferences or via advocacy efforts, collaborate with fellow professionals, and contribute to advancing patient care. Please complete the form below to apply, and we look forward to reviewing your submission.

Once we receive enough submissions, we will begin building out the landing page on the website. This page will include the following information:
- Headshot with Name and designations
- Current Job Title, employer and location
- Medical School and Place of Residency
- Topics of interest
- Professional Bio with Link to CV Pdf
If you have any questions, feel free to reach out! WPA@badgerbay.co
Name*

FirstLast
Professional Designation*
Email:*
Job Title*
Organization Name*
Medical School*
Place of Residency*
In Person or Virtual (select all that apply)*

In PersonVirtual
Id like to be listed as (select all that apply)*

SpeakerSubject Matter Expert (for lobbyist use, to potentially testify at legislative hearings, ect)
Speaker Information

List Presentation Titles & Topics from the past 5 years you have done and would be willing to present on again, WPA may ask to review your slides:
List Presentations & Topics: *
Include any other topics you could present on:

Anxiety DisordersChild & Adolescent PsychiatryCommunity PsychiatryConsultation Liaison PsychiatryCultural Psychiatry & DiversityDissociative Identity DisorderForensicsGeriatricsMood DisordersNeurocognitive Disorders (Delirium, Dementia, etc)Neuroscience & GeneticsPersonality DisordersPhysician Well-Being/ BurnoutPractice ManagementPsychopharmacologyPsychotherapy (Behavioral & Psychodynamic)Psychotic DisordersSexual DysfunctionSleep-Wake DisordersSomatic Treatments (ECT, rTMS, DBS, etc.)Substance Use DisordersSuicide & Risk EvaluationTrauma & Stressor Related Disorders (PTSD)Other
Subject Matter Expert Information

Occasionally WPA will get asked by our lobbyists and legislators for subject matter experts or for WPA members to testify at legislative hearings, select all topics you are willing to testify on:
Legislative Topics

AddictionChapter 51SuicideWomen's Mental HealthOther
Speaker Information
Brief Professional Biography*
Professional Headshot

Browse Files

Cancelof
Should be Empty:

WPA Speaker Bureau Sign-Up

Speaker Information

Subject Matter Expert Information

Speaker Information