Become a MedSocio moderator

Fields marked with an asterisk are required.

Personal details

Full name

MobileWe only use this if your application is taken forward.

City

State

Your MedSocio profile

Registration and qualifications

Registered with

Council name

Registration numberExactly as it appears on your certificate. Formats differ by council.

Highest PG qualification

PG specialty

Year of PG qualification

Other qualifications

Current practice

About you

A short profileYour training, your practice, and what you are known for.

Why would you like to moderate?

Any experience running a group or community

Any teaching or mentoring experience

A real situation

A member posts a clinical photograph with the patient’s name visible, and the discussion under it is already useful. What do you do?

How would you handle it?

Time and conflicts

How much time can you give each week?

About 2–3 hours3–5 hoursMore than 5 hours

Can you respond to escalated reports within 24 hours?

YesMost of the timeNot usually

Conflict of interest

I have nothing to declareI have something to declare

Documents

Your CV

Choose a filePDF, DOC, DOCX · up to 4 MB

Registration certificate

Choose a filePDF, JPG, JPEG, PNG · up to 3 MB

Your photo

Choose a fileJPG, JPEG, PNG, WEBP · up to 8 MB

Peer references

Two colleagues in your specialty who can vouch for you. We contact them only if your application is taken forward.

First referee — name

First referee — designation

First referee — email

First referee — mobile

Second referee — name

Second referee — designation

Second referee — email

Second referee — mobile

Declarations