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WIO Feature Form
General Information
Name
(Required)
First
Last
Email
(Required)
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What Institution do you practice at?
What position(s) do you currently hold?
What is the scope of your OHNS practice:
General OHNS
Head & Neck Surgery
Facial Plastics & Reconstructive Surgery
Laryngology
Pediatric OHNS
Otology, Neurotology, & Vestibular
Rhinology & Sinus Disease
Sleep Medicine
Thyroid Surgery
Where did you complete your medical residency?
Where did you complete your fellowship, if applicable?
Getting To Know You
1) Please Select a Question to Answer
(Required)
Question #1
What is your favorite surgery to perform?
How do you like to spend your time outside of the hospital/clinic?
What is something that helps you recharge outside of medicine?
What is your go-to OR song or playlist?
What is your guilty pleasure treat after a long day?
What is your proudest moment (professional or personal)?
What is a memory from your medical training that still makes you smile to think of?
If you weren’t an OHNS surgeon, what career would you choose and why?
What is one hidden talent or fun fact of yours that most people don’t know about?
Poutine, Butter Tart, or Nanaimo Bar – which is the superior Canadian treat?
Answer to Question #1
(Required)
2) Please Select a Question to Answer
(Required)
Question #2
What is your favorite surgery to perform?
How do you like to spend your time outside of the hospital/clinic?
What is something that helps you recharge outside of medicine?
What is your go-to OR song or playlist?
What is your guilty pleasure treat after a long day?
What is your proudest moment (professional or personal)?
What is a memory from your medical training that still makes you smile to think of?
If you weren’t an OHNS surgeon, what career would you choose and why?
What is one hidden talent or fun fact of yours that most people don’t know about?
Poutine, Butter Tart, or Nanaimo Bar – which is the superior Canadian treat?
Answer to Question #2
(Required)
3) Please Select a Question to Answer
(Required)
Question #3
What is your favorite surgery to perform?
How do you like to spend your time outside of the hospital/clinic?
What is something that helps you recharge outside of medicine?
What is your go-to OR song or playlist?
What is your guilty pleasure treat after a long day?
What is your proudest moment (professional or personal)?
What is a memory from your medical training that still makes you smile to think of?
If you weren’t an OHNS surgeon, what career would you choose and why?
What is one hidden talent or fun fact of yours that most people don’t know about?
Poutine, Butter Tart, or Nanaimo Bar – which is the superior Canadian treat?
Answer to Question #3
(Required)
Words of Wisdom
4) Please Select a Question to Answer
Question #4
What is one piece of advice that you have for trainees/aspiring WIO members?
If you could go back 10 years in the past, what advice would you give your younger yourself?
What is the best piece of advice you’ve ever received?
What do you wish more people understood about being a woman in surgery?
What do you hope the next generation of WIO members will carry forward?
Answer to Question #4
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