Join the Every Scenario Medical Expert Network by completing the form below.
*Please note, this form is powered by JotForm and is HIPPA compliant. Every Scenario will never sell your information. If you have any questions, please email info@everyscenario.com
Personal Information
First Name
*
Last Name
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Email
*
example@example.com
Cell Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Facility Name
*
Facility Address
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Facility City/State
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Country
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Residency/Fellowship Completion Year (if applicable):
Referred By (if applicable):
Professional Credentials (select all that apply)
*
MD - Doctor of Medicine
DO - Doctor of Osteopathic Medicine
RN - Registered Nurse
NP - Nurse Practitioner
PA-C - Physician Assistant Certified
CRNA - Certified Registered Nurse Anesthetist
SLP - Speech Language Pathologist
PharmD - Doctor of Pharmacy
PsyD - Doctor of Psychology
PhD — Doctor of Philosophy (Healthcare, Medical, Scientific, or Related Field)
MSN - Master of Science in Nursing
BSN - Bachelor of Science in Nursing
CSFA — Certified Surgical First Assistant
CST — Certified Surgical Technologist
N/A
Other
Leadership and Training Experience (select any roles currently/previously held):
Medical Director
Chief Medical Officer
Department Chair
Residency Program Director
Resident Physician
Chief Resident
Fellow
Director of Nursing
Clinical Nurse Manager
Nurse Educator / Clinical Educator
N/A
Other
Areas of Engagement:
Organizations frequently engage medical professionals as subject-matter experts to ensure medical accuracy, regulatory compliance, product effectiveness, and strategic decision-making. Below you will find areas of potential engagement.
Please review and select all areas of engagement you may be interested in:
Medical Device & Product Development: Provide real-world clinical insight during development.
Clinical Trials & Research: Play a critical role in evaluating safety and effectiveness.
Medical Education & Training: Teach peers and commercial teams how to use new technologies and techniques.
Marketing & Scientific Credibility: Provide clinical credibility to messaging and materials.
Regulatory & Compliance Guidance: Help companies navigate healthcare regulations.
Product Safety & Management: Identify and manage patient safety risks.
Legal Case Evaluation & Expert Witness Testimony: Help attorneys evaluate and interpret complex medical information in legal cases.
Workplace Health & Occupational Medicine: Advise companies on employee health programs.
Advisory Boards & Strategic Consulting: Provide strategic clinical insight for advisoryboards, business initiatives, and organizational decision-making.
Healthcare technology & AI Review: Support the development, review, and optimization of digital health tools, AI healthcare solutions, and technology platforms through clinical insight, workflow guidance, and patient safety expertise.
Areas of Expertise
Medical professionals bring specialized knowledge and experience across a wide range of clinical disciplines and areas of practice. Please select all areas in which you have relevant education, training, clinical experience, or subject-matter expertise.
Primary Care (select all areas in which you have relevant experience)
Family Medicine
Internal Medicine
Pediatrics
Medicine-Pediatrics
Preventive Medicine
Women's Healthcare
Other
Internal Medicine (select all areas in which you have relevant experience)
Cardiology
Endocrinology, Diabetes & Metabolism
Gastroenterology
Geriatric Medicine
Hematology & Oncology
Infectious Disease
Nephrology
Pulmonary Disease
Pulmonary & Critical Care Medicine
Rheumatology
Clinical Pharmacology
Allergy & Immunology
Advanced Heart Failure & Transplant Cardiology
Interventional Cardiology
Clinical Cardiac Electrophysiology
Other
Surgical Specialties (select all areas in which you have relevant experience)
General Surgery
Cardiothoracic Surgery
Thoracic Surgery
Bariatric Surgery
Minimally Invasive Surgery
Vascular Surgery
Pediatric Surgery
Colorectal Surgery
Surgical Oncology
Trauma Surgery
Critical Care Surgery
Transplant Surgery
Endocrine Surgery
Hepatobiliary Surgery
Other
Anesthesia Specialties (select all areas in which you have relevant experience)
Anesthesiology
Pain Medicine
Critical Care Anesthesiology
Cardiac Anesthesiology
Pediatric Anesthesiology
Obstetric Anesthesia
Regional Anesthesia
Other
Cardiovascular Specialties (select all areas in which you have relevant experience)
Cardiology
Interventional Cardiology
Electrophysiology
Heart Failure
Cardiac Imaging
Cardiothoracic Surgery
Vascular Surgery
Other
Dermatology Specialties (select all areas in which you have relevant experience)
Dermatology
Dermatopathology
Mohs Surgery
Pediatric Dermatology
Cosmetic Dermatology
Other
Emergency and Critical Care (select all areas in which you have relevant experience)
Emergency Medicine
Emergency Medical Services
Medical Toxicology
Critical Care Medicine
Trauma & Acute Care Surgery
Other
ENT / Head & Neck Specialties (select all areas in which you have relevant experience)
Otolaryngology
Head & Neck Surgery
Rhinology/Sinus Surgery
Otology/Neurotology
Speech Language Pathology
Laryngology
Pediatric ENT
Facial Plastic & Reconstructive Surgery
Other
Metabolic & Endocrine Medicine (select all areas in which you have relevant experience)
Diabetes Medicine
Thyroid Disorders
Adrenal Disorders
Pituitary Disorders
Reproductive Endocrinology
Weight Management
Clinical Nutrition
Other
Neurologic Specialties (select all areas in which you have relevant experience)
Neurology
Neurocritical Care
Clinical Neurophysiology
Epilepsy
Neuromuscular Medicine
Vascular Neurology (Stroke)
Interventional Neurology
Neurosurgery
Pediatric Neurosurgery
Functional Neurosurgery
Other
Obstetrics & Women’s Health (select all areas in which you have relevant experience)
Obstetrics & Gynecology (OB/GYN)
Gynecologic Surgery (MIS)
Maternal-Fetal Medicine
Gynecologic Oncology
Reproductive Endocrinology & Infertility
Urogynecology/Female Pelvic Medicine
Other
Ophthalmology Specialties (select all areas in which you have relevant experience)
Ophthalmology
Retina/Vitreoretinal Surgery
Cornea & External Disease
Glaucoma
Oculoplastic Surgery
Neuro-ophthalmology
Pediatric Ophthalmology
Other
Oncology Specialties (select all areas in which you have relevant experience)
Medical Oncology
Radiation Oncology
Surgical Oncology
Hematologic Oncology
Pediatric Oncology
Gynecologic Oncology
Other
Orthopedic Specialties (select all areas in which you have relevant experience)
Orthopedic Surgery
Adult Reconstruction (Hip & Knee)
Sports Medicine
Orthopedic Trauma
Spine Surgery
Hand Surgery
Foot & Ankle Surgery
Pediatric Orthopedics
Musculoskeletal Oncology
Other
Pathology Specialties (select all areas in which you have relevant experience)
Anatomic Pathology
Clinical Pathology
Cytopathology
Forensic Pathology
Hematopathology
Molecular Pathology
Neuropathology
Pediatric Pathology
Other
Pediatric Subspecialties (select all areas in which you have relevant experience)
Pediatric Cardiology
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Surgery
Pediatric Hematology/Oncology
Pediatric Infectious Disease
Pediatric Nephrology
Pediatric Pulmonology
Pediatric Rheumatology
Neonatology
Developmental-Behavioral Pediatrics
Pediatric Emergency Medicine
Pediatric Critical Care
Other
Psychiatry & Behavioral Health (select all areas in which you have relevant experience)
Psychiatry
Child & Adolescent Psychiatry
Addiction Psychiatry
Forensic Psychiatry
Geriatric Psychiatry
Psychosomatic Medicine
Other
Radiology Specialties (select all areas in which you have relevant experience)
Diagnostic Radiology
Interventional Radiology
Neuroradiology
Musculoskeletal Radiology
Breast Imaging
Pediatric Radiology
Ultrasonography
Nuclear Radiology
Cardiovascular Imaging
Other
Rehabilitation & Musculoskeletal Medicine (select all areas in which you have relevant experience)
Physical Medicine & Rehabilitation (PM&R)
Pain Medicine
Sports Medicine
Spine Medicine
Other
Urology Specialties (select all areas in which you have relevant experience)
Urology
Urologic Oncology
Endourology
Female Pelvic Medicine & Reconstructive Surgery
Pediatric Urology
Male Infertility/Andrology
Other
Other Clinical Specialties (select all areas in which you have relevant experience)
Sleep Medicine
Palliative Medicine
Hyperbaric Medicine
Occupational Medicine
Integrative Medicine
Other
General Availability
This information helps us understand how you may be able to participate in upcoming opportunities. You can update this information at any time by emailing info@everyscenario.com
Select the option that best reflects your current availability.
I am able to travel domestically for engagements.
I am able to travel within my state or region only.
I am only able to engage virtually at this time.
My availability is on a case by case basis, please reach out with any potential engagement opportunities.
Potential Conflicts of Interest
This information helps ensure all engagements are conducted in a timely manner and in accordance with applicable guidelines and policies. Pre-approval process and relevant policies must be disclosed before engagement.
Select the option that best reflects your current situation:
My institution requires pre-approval for consulting.
I must comply with hospital/institution conflict-of-interest policies.
I may have restrictions related to competing companies.
I have no known conflicts of interest at this time.
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