Trainees Committee Member Application Form

Trainees Committee

Application form for a Trainee Member position
Full name
Title
Institution
City
Country
Mobile Phone

Country CodeArea CodePhone Number
ESAIC Membership number
Email
example@example.com

1. Contribution to the Trainees Committee
1.1 Involvement in national or international Student or Trainee networks/organisations
0/2500
1.2 Experience/Participation in the ESAIC Trainee Network activities
(mandatory)

0/2500
Applicants for the Trainees Committee Member position are only eligible if they will maintain their trainee/resident status for the full duration of the three-year term. The ESAIC Trainee and Committee membership ends automatically after the first specialty/Consultancy year

2. Please select the ESAIC Committee you are most interested in joining
I'm applying for a Trainee member position within the following Committee:
Applicants may apply for one Committee only. Multiple or simultaneous applications will not be considered.

3. Qualifications and Skills
3.1 Describe your experience in organising or contributing to national or international scientific meetings, courses or educational programmes in the field of anaesthesiology, perioperative and/or intensive care medicine.
(mandatory)

0/3000
3.2 Applicants must have attended the Euroanaesthesia Annual Conference at least once (as an abstract presenter or regular delegate).
(mandatory)

1.
2. (optional)
3. (optional)
4. (optional)
5. (optional)
0/3000
3.1 Applicants must possess familiarity with educational resources and learning tools and have demonstrated experience in developing educational activities, such as live sessions, webinars, social media content, or other innovative learning formats, covering topics of relevance to trainees. Please provide details of your experience.
(mandatory)

0/3000
3.2 Describe your experience in organising or contributing to national or international scientific meetings, courses or educational and training programmes in the field of anaesthesiology, perioperative and/or intensive care medicine.
0/2500
3.1 Please provide details of any (either personal or professional) experience you have in developing activities or projects aimed at reducing the carbon footprint of anaesthesia, critical care, or perioperative medicine.
(mandatory)

0/2500
3.2 Please provide details of any experience you have in conducting, contributing to, or coordinating research projects, audits, or survey-based activities related to sustainability in anaesthesia, critical care, or perioperative medicine.
0/2500
3.1 Please describe any experience you have in Patient Safety, including poster presentations or oral presentations at congresses, incident reporting systems in your institution and/or as part of your resident programme, simulation-based training activities focused on human factors, teamwork, communication, crisis resource management, or incident prevention.
(mandatory)

0/2500
3.2 Please provide details of any experience you have in developing activities or projects related to Patient Safety and Quality in anaesthesia, critical care, or perioperative medicine.
0/2500
3.1 What particular interest, expertise, or perspective motivates your application, and what added value would you bring to the Guidelines Committee?
(mandatory)

0/2500
3.2 Please provide details of any experience you have in scientific evidence searching and assessment (for production of reviews, meta-analysis, and/or guidelines)
0/2500
3.1 Please describe your experience in clinical and/or basic and/or big data/AI research, and scientific publications.
(mandatory)

0/2500
3.2 Please provide details of any experience in writing grants applications (type of grant, amount of grant)
0/2500
Applicants must be fluent in English, and apt to speak in public (i.e. give presentations, lectures) and act as contributors, speakers and/or moderators in relevant ESAIC events (meetings, courses, congresses and webinars)

4. Contribution to ESAIC and Engagement
4.1 Please confirm your ability to commit sufficient time and effort to this role, and explain what you hope to achieve as a member of the ESAIC Committee to which you are applying.

0/2500
4.2 Briefly explain how you would ensure effective representation of the Trainees Committee and promote the interests of trainees within the Committee to which you are applying.

0/2500
4.3 Applicants shall preferably have an established international network in the field they are applying for. Please provide details (if any).
0/2500

5. Collaboration and Values
Working within ESAIC values: ESAIC Code of Conduct
5.1 Describe how you ensure that your contributions align with the ESAIC Code of Conduct, particularly with regard to collaboration, managing conflicts of interest and inclusiveness:

0/2000
5.2 Please declare any conflict of interest, i.e. relationship or arrangement with a commercial company, direct or indirect, that could be reasonably considered to affect the work in the Committee to which you are applying for.
Receipt of grant/research support
Receipt of honoraria or consultation fee
Participation in a company sponsored speaker’s bureau
Stock shareholder
Other support (please specify)

Finalise your application
Tick as appropriate
Upload your CV (maximum 2 sides of A4)

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Trainees Committee

1. Contribution to the Trainees Committee

2. Please select the ESAIC Committee you are most interested in joining

3. Qualifications and Skills

4. Contribution to ESAIC and Engagement

5. Collaboration and Values

Finalise your application