White Coats In Retirement Rapid Response Team!
White Coats in Retirement harnesses the wisdom, experience, and credibility of retired physicians to advance health equity, strengthen the voice of medicine in policymaking, and mentor the next generation of advocates. While no longer in clinical practice, retired physicians remain powerful agents of change without fear of career repercussions. Please take a moment to fill out this quick form. We'll reach out when opportunities come up!
Name
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First Name
Last Name
Email
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example@example.com
Cell Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Address
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City
State / Province
Postal / Zip Code
Level of Training
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Retired Physician
Retired Researcher
Retired Health Advocate
Other
Specialty
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What topics are you most interested in or feel you have subject matter expertise?
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Protecting Access to Care (ACA, Medicare, Medicaid, CHIP)
Drug Affordability
Medical Racism & Equity
Gun Violence Prevention
Reproductive Rights
Gender & Sexual Health
Immigrant Health Justice
Health for All System Transformation (Single payer, Medicare for All, etc.)
Prevention Misinformation
Vaccine Confidence
Protecting Public Health
Incarercal Care
Substance Use Disorder
Artificial Intelligence (AI)
FDA Task Force (Regulation, transparency, approvals etc.)
I am interested in participating in the following activities: (check all that apply)
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Engaging with legislators and providing testimony
Writing Op-Eds or letters to the editor
Interacting with the media (TV, radio, podcasts, print, online interviews, etc.)
Direct legislative outreach (email, letters and calls)
Mentorship (Serve as a mentor to a member of DFA's Copello Advocacy Fellowship)
Represent DFA at a Coalition meeting (virtual/online)
Speak at community events to counter misinformation and promote evidence-based medicine
Writing statements, press releases and public comments
Other
How much time are you able to share with White Coats in Retirement?
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0 - 2 hours per week
3 - 5 hours per week
3 - 5 hours per month
I've got lots of time, whatever is needed
Other
Are you interested in participating in an occasional virtual meeting with other White Coats in Retirement?
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Yes
No
Submit
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