Pediatric Subspecialty Webinar Series Form Thank you for participating in the CoPS and COMSEP Pediatric Special Interest Network webinar series.Each specialty is asked to identify:One faculty panelistA trainee participant (optional but encouraged)Scheduling availability for the January–February webinar seriesPlease submit one response per specialty by Friday, October 30.We know it may take time to decide who will present. If your panelist isn't confirmed yet, please go ahead and submit your scheduling availability now. You can send panelist details later.Specialty InformationSubspecialty Webinar Group(Required)Select your webinar groupDiagnostic DetectivesHormones, Kidneys & GutHeart, Lungs & BloodHospital Front LinesNew Beginnings, Skin & SightGrowing Up and ThrivingSpecialty(Required)Select your specialtyAllergy & ImmunologyInfectious DiseasesRheumatologyEndocrinologyNephrologyGastroenterologyCardiologyPulmonary MedicineHematology-OncologyEmergency MedicineHospital MedicineCritical CareNeonatologyPediatric DermatologyPediatric OphthalmologyDevelopmental & Behavioral PediatricsAdolescent MedicineChild Abuse PediatricsOrganization / Society(Required)Faculty PanelistHas your specialty confirmed a faculty panelist?(Required) Yes Not yet Faculty Panelist Name(Required) First Last Faculty Panelist Email(Required) Faculty Panelist Institution(Required)Is the faculty panelist a current CoPS representative?(Required) Yes No Unsure No problem! Please email the panelist's name, email address and institution to the CoPS office once confirmed, ideally by Friday, December 4.Trainee ParticipantWill a trainee participate?(Required) Yes No Unsure Trainee First NameTrainee Last NameTrainee Email Trainee InstitutionTraining LevelSelect training levelMedical StudentResidentFellowOtherWebinar SchedulingEach webinar is one hour. The time slots below are reserved for your webinar group.Please select every slot your specialty could make. We'll confirm the slot that works for the most specialties in your group.Which time slots would work for your specialty?(Required) Friday, January 8 · 12:00–1:00 PM ET / 11:00 AM–12:00 PM CT Friday, January 8 · 1:00–2:00 PM ET / 12:00–1:00 PM CT Wednesday, January 27 · 1:30–2:30 PM ET / 12:30–1:30 PM CT None of these work for us Time slots for Diagnostic DetectivesWhich time slots would work for your specialty?(Required) Friday, January 8 · 1:00–2:00 PM ET / 12:00–1:00 PM CT Friday, January 8 · 2:00–3:00 PM ET / 1:00–2:00 PM CT Thursday, January 28 · 12:00–1:00 PM ET / 11:00 AM–12:00 PM CT None of these work for us Time slots for Hormones, Kidneys & GutWhich time slots would work for your specialty?(Required) Thursday, January 28 · 1:30–2:30 PM ET / 12:30–1:30 PM CT Friday, February 5 · 12:00–1:00 PM ET / 11:00 AM–12:00 PM CT Friday, February 5 · 1:00–2:00 PM ET / 12:00–1:00 PM CT None of these work for us Time slots for Heart, Lungs & BloodWhich time slots would work for your specialty?(Required) Monday, February 8 · 12:00–1:00 PM ET / 11:00 AM–12:00 PM CT Monday, February 8 · 1:00–2:00 PM ET / 12:00–1:00 PM CT Thursday, February 11 · 1:30–2:30 PM ET / 12:30–1:30 PM CT None of these work for us Time slots for Hospital Front LinesWhich time slots would work for your specialty?(Required) Friday, February 19 · 12:00–1:00 PM ET / 11:00 AM–12:00 PM CT Friday, February 19 · 1:00–2:00 PM ET / 12:00–1:00 PM CT Thursday, February 25 · 12:00–1:00 PM ET / 11:00 AM–12:00 PM CT None of these work for us Time slots for New Beginnings, Skin & SightWhich time slots would work for your specialty?(Required) Monday, February 22 · 1:00–2:00 PM ET / 12:00–1:00 PM CT Monday, February 22 · 2:00–3:00 PM ET / 1:00–2:00 PM CT Thursday, February 25 · 1:30–2:30 PM ET / 12:30–1:30 PM CT None of these work for us Time slots for Growing Up and ThrivingIf more than one slot works, which is your first choice? Friday, January 8 · 12:00–1:00 PM ET / 11:00 AM–12:00 PM CT Friday, January 8 · 1:00–2:00 PM ET / 12:00–1:00 PM CT Wednesday, January 27 · 1:30–2:30 PM ET / 12:30–1:30 PM CT Optional. This helps us break ties within your group.If more than one slot works, which is your first choice? Friday, January 8 · 1:00–2:00 PM ET / 12:00–1:00 PM CT Friday, January 8 · 2:00–3:00 PM ET / 1:00–2:00 PM CT Thursday, January 28 · 12:00–1:00 PM ET / 11:00 AM–12:00 PM CT Optional. This helps us break ties within your group.If more than one slot works, which is your first choice? Thursday, January 28 · 1:30–2:30 PM ET / 12:30–1:30 PM CT Friday, February 5 · 12:00–1:00 PM ET / 11:00 AM–12:00 PM CT Friday, February 5 · 1:00–2:00 PM ET / 12:00–1:00 PM CT Optional. This helps us break ties within your group.If more than one slot works, which is your first choice? Monday, February 8 · 12:00–1:00 PM ET / 11:00 AM–12:00 PM CT Monday, February 8 · 1:00–2:00 PM ET / 12:00–1:00 PM CT Thursday, February 11 · 1:30–2:30 PM ET / 12:30–1:30 PM CT Optional. This helps us break ties within your group.If more than one slot works, which is your first choice? Friday, February 19 · 12:00–1:00 PM ET / 11:00 AM–12:00 PM CT Friday, February 19 · 1:00–2:00 PM ET / 12:00–1:00 PM CT Thursday, February 25 · 12:00–1:00 PM ET / 11:00 AM–12:00 PM CT Optional. This helps us break ties within your group.If more than one slot works, which is your first choice? Monday, February 22 · 1:00–2:00 PM ET / 12:00–1:00 PM CT Monday, February 22 · 2:00–3:00 PM ET / 1:00–2:00 PM CT Thursday, February 25 · 1:30–2:30 PM ET / 12:30–1:30 PM CT Optional. This helps us break ties within your group.Since none of these slots work, please describe when your specialty is generally available.(Required)We'll follow up with alternate options.Please list any scheduling restrictions or conflicts:Additional comments or questions: