IDEOM Stakeholder Application
International Dermatology Outcome Measures (IDEOM) is a non-profit organization seeking to develop and validate measures throughout dermatology. IDEOM strives for the establishment of patient-centric outcomes to enhance the research and treatment of dermatological conditions. IDEOM seeks to bring together physicians, researchers, government agencies, pharmaceutical companies, payers and patients from around the globe to develop and validate measures throughout the field of dermatology.

To become a stakeholder with IDEOM, participation in Delphi survey’s, web conferences, wokrgroups, and in-person meetings will be required. IDEOM provides a travel bursary for all stakeholders, with the exception of our industry and payer stakeholders.

Please complete this application and submit a letter of interest of developing outcomes in dermatologic conditions or your personal experience. Please also submit a CV (patients need not submit a CV).

Please contact Amanda Pacia, IDEOM Association Manager, at amanda@dermoutcomes.org with any questions.

Name and Degree/s (if applicable): *
Academic Title (if applicable):
INSTITUTION/COMPANY (if applicable):
Mailing Address
City, State, Zip code
Country *
Phone #
Email Address *
Type of Stakeholder category you would like to participate in: *
Required
If you selected "other" for stakeholder category, please define here:
Which workgroup are you interested in participating in: *
Name of person who recommended you (if anyone):
List any significant publications in dermatology (if applicable):
Upload CV (if applicable)
Please explain your interest in IDEOM here:
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