Application to join Annual Scientific Meeting 2027 event working group

The 2027 Annual Scientific Meeting (ASM) will take place in Auckland / Tāmaki Makaurau, Aotearoa in November.

The event working group is open to ACEM members across Aotearoa New Zealand and Australia.

If you are interested in getting involved in the organisation of the ASM, please submit the form below.

Closing date: 25 May 2026

If you have any questions, please contact ACEM Events on events@acem.org.au.

Name

First NameLast Name

ACEM ID

Please enter your ACEM membership number.

Mobile phone number

Please enter your mobile phone number.

Email

example@example.com

ACEM Membership category

Which city do you work in?

Which hospital will you be representing?

Working Group Support

Please indicate if there are additional people who would like to be involved in or support your expression of interest to be part of the working group.

Attendance

Areas of interest

Would you like to be considered for the role of Chair of this working group?

The ASM Working Group Chair is identified as a senior FACEM who is responsible for chairing meetings, and to assist the working group by referencing any relevant guidelines or policies that may need to be adhered to when delivering outcomes or recommendations. Please note that the role of Working Group Chair is eligible to receive CPD under the new Leadership activity. From 1 January 2026, an additional High-Level Requirement (HLR) leadership activity and reflection has been introduced for all specialist emergency medicine physicians.

Please indicate if you wish to be a Māori advisor to the event working group

Statement of Suitability

Please include a short statement of suitability/intent indicating knowledge, skills and experience relevant to the Working Group for which you are applying. Please include reasons why you wish to join the ASM Working Group.0/500

ACEM Core Values Module

The ACEM Core Values of respect, integrity, collaboration, and equity define the organisations guiding principles, and underpin the way ACEM works in order to meet its vision and mission of ensuring the highest standards are maintained in the training of emergency physicians, and in the provision of emergency care to the communities of Australia and Aotearoa New Zealand. From the start of 2022, all future appointees to ACEM roles and entities are required to have completed the ACEM Core Values Module; the close of the applicable expression of interest/nomination process and outline how they demonstrate the Core Values within their workplace.

Have you completed the ACEM Core Values Module?

Demonstrate core values

Please describe how you demonstrate all four ACEM Core Values within your workplace. In respect to retired Fellows please describe how you demonstrate the ACEM Core Values in your dealings with others.

Conflicts of interest

Please identify any actual or perceived conflicts of interest.

I acknowledge that the information that I provide on this form will be provided to ACEM staff.