Patient Safety Speakers Coalition

Apply to Become a Speaker

Please complete this form if you would like to be considered as a speaker of the Patient Safety Speakers Coalition. After completing the form below and supplying a video the PSMF team will meet to determine if you are a good fit for our program. We will respond to all submissions within 10 days.

  • In order for us to adequately determine if you are a good fit to speak on the speakers coalition, please submit a recording of you answering the following questions:

  • 1. Please briefly share with us your experience in improving patient care.
  • 2. Please briefly share with us your experience of dealing with medical errors or unsafe care and provide an example.
  • 3. Please tell us what inspired or influenced you to advance your work in patient safety.
  • 4. Are you comfortable speaking to a laid audience and can you give us an example of how you would explain a medical incident to a layperson?
  • Max. file size: 100 MB.