EAST Careercasts Proposal Form

Thank you for your interest in the EAST Careercasts. Please complete the information below to submit your proposal for a Careercast. Your suggestion will be reviewed by the EAST Career Development Committee. Please provide all information requested or your proposal will not be considered. All Careercasts will be coordinated through the EAST Career Development Committee and a member of the Career Development Committee will participate in all Careercast interviews.

Careercast Proposer Information

Please list your fullname including degrees and credentials
e.g. Career Development Section, Acute Care Surgery Section

Proposed Careercast Details

Please enter the general subject matter to be covered in the Careercast
List fullname of individual to be interviewed including degrees and credentials
You must provide four proposed questions for the interviewee
Briefly state why this Careercast is needed
Enter code*
Anti spam code

Thank you for submitting your proposal. We will contact you should we require additional information regarding your proposal or to coordinate production of the Careercast.