MFSRH Question Writer Application Form

Thank you for your interest in becoming an MFSRH Question Writer, please can you give us a little more information about you on this form. We'll be in touch soon after you submit.

If you would like a copy of your responses (which can be useful, should you apply for other things in the future), please add your email address in the relevant field at the bottom of this form.

The information you have shared on this form will be used by the relevant FSRH Committee and FSRH staff for the purposes of administration only. FSRH will keep this information securely on our systems. Our full privacy policy can be viewed here.

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Personal Details

Please tell us a bit about yourself.

Member of FSRH? Select which membership you currently hold.*
Present Role or appointment:

Please tell us some information about the following items:

  • Clinical Activities
  • Educational Activities
  • Administrative Activities
  • Research Activities
  • Editorial Activities

We'd also like to know about any previous experience you might have about writing exam questions.

Briefly tell us about your clinical activities in your current (or most recent) role*

Briefly tell us about your research and/or editorial activities

Briefly tell us about your experience in medical education and assessment (e.g. question writer, examiner)*

Special Areas of Interest: *

Please indicate your special areas of clinical expertise where you feel you would be able to contribute questions:

Any other areas of special interest not listed above?

Please indicate how much time you would be able to commit to the role of the MFSRH Question Writer.

Verification

Please click the box to indicate you are a human rather than an automated system completing this form.

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