Speaker Directory Inclusion Registration (*) Required | New York ACEP Membership Required for Inclusion First Name(*) Please type your first name. Last Name(*) Please type your last name. Degrees/Credentials Note: Hold the Ctrl key for multiple selections MDDOFACEP Invalid Input Other Degrees/Credentials Please type your Other Credentials. Job Title Please type your job title. Institution Please type your Institution. Street Address Please type your street address. City(*) Please type your city. State(*) Please type your state. Zipcode(*) Please type your zip code. Email Address(*) Please type your correct email address. Honoraria Required YesNo Invalid Input Travel Expense Required YesNo Invalid Input What regions are you willing to travel to speak? (select all that apply) Note: Hold the Ctrl key for multiple selections(*) Capital RegionCentral New YorkHudson ValleyLong IslandNew York CityNorth CountryWestchesterWestern New York Invalid Input Area(s) of Interest Speaking Topics Note: Hold the Ctrl key for multiple selections(*) Acute Coronary SyndromeAdministrationAirwayAntibiotics/Antibiotic ResistanceBehavioral HealthCardiovascularChild AbuseConcussionCultural CompetencyDomestic ViolenceEmergency ImagingEMS and Disaster PreparednessEMTALAEndocrineEnd-of-Life CareEthicsGeriatricsGIHead, Ear, Eye, Nose, ThroatHealth PolicyInfectious DiseaseLeadership/Professional DevelopmentMedical EducationNeurologicOBGYNObservation MedicineOperations, Finance, Health Care System DesignOrthopedicsPain ManagementPatient SafetyPediatricsProcedures and SkillsResearch (Methodology, Funding)Risk ManagementSepsisSimulationStroke/Cerebrovascular DiseaseThoracic-RespiratoryToxicologyTrauma or Critical CareUltrasoundWellnessWound Management Invalid Input Other (please specify) Please select option. Biography Please type your biography. Photo(*) Photo must 500kb or below. .pdf (Files) Please upload only PDF File. .pptx (Files) Please upload only PPT File. .mp4 Invalid Input .mov Invalid Input YouTube URL Invalid Url Submit
