Call for Award Assessors Survey

Call for Award Assessors

Over the last years, the ESICM research committee has established a network of excellent and experienced researchers who are willing to evaluate and review applications for the ESICM research awards. If you wish to join them as an award assessor, you will receive research proposals relevant to your area of expertise.

Please fill in this survey, if you are willing to contribute to this important task for the Society.

Thank you very much.
Guy François, Research at ESICM

Visit ESICM Awards webpage: https://www.esicm.org/research/awards-2/

Please note : If you intend to apply or have applied for any of the ESICM research awards in 2022 yourself you will unfortunately not qualify as a reviewer this year. We will be very pleased to hear from you again in 2023

1.Name(Required.)

Last name

First name

2.e-mail address(Required.)

3.Country(Required.)

4.In which Hospital are you currently working? (We ask this to avoid any possible conflict of interest).

5.Department

6.Main specialty(Required.)

Intensive care

Anesthesiology

Internal medicine

Surgery

Other (please specify)

7.Experience(Required.)

I am not specialized as an intensivist yet

I am an intensivist and work part time on an ICU

I have been an intensivist for less than 2 years and work full time on an ICU

I have been an intensivist between 2 and 5 years and work full time on an ICU

I have been an intensivist for more than 5 years and work full time on an ICU

9.Are you affiliated to a medical school/university?

Yes

If Yes, please specify

10.Key words

11.Do you have experience in basic research?

Yes

12.Do you have experience in clinical research?

Yes

13.Your H-index(Required.)

14.Are you an ESICM member?(Required.)

Yes

15.If you wish to give details of your experience in research please do so