Submit Doctor Profile Home » Submit Doctor Profile Doctor Profile Submission Form Submit or update your profile for the HIMSR website. Step 1: Submission Type Is this a new profile or an update? * -- Select -- New Profile Update Existing Profile Select Your Existing Profile First select your department, then select your name. Department * -- Select Department -- Anaesthesia Anatomy Biochemistry Central Skill Lab Community Medicine Dentistry Dermatology Emergency Medicine ENT & Head And Neck Surgery Forensic Medicine and Toxicology Medical Education Unit Medicine Microbiology Obstetrics and Gynecology Ophthalmology Orthopedics Paediatrics Pathology Pharmacology Physiology PMR Department Psychiatry Radio-Diagnosis Respiratory Medicine Surgery Your Name * -- Select Department First -- Step 2: How would you like to submit? Fill the Online Form Enter your details directly in the form below Upload Word Document Upload a filled Word document in the HIMSR format Basic Information These details help us identify and process your submission. Full Name * Email ID * Department * -- Select Department -- Anaesthesia Anatomy Biochemistry Central Skill Lab Community Medicine Dentistry Dermatology Emergency Medicine ENT & Head And Neck Surgery Forensic Medicine and Toxicology Medical Education Unit Medicine Microbiology Obstetrics and Gynecology Ophthalmology Orthopedics Paediatrics Pathology Pharmacology Physiology PMR Department Psychiatry Radio-Diagnosis Respiratory Medicine Surgery Designation * -- Select Designation -- Professor & HOD Professor Associate Professor Assistant Professor Senior Resident Junior Resident PG Resident Demonstrator Upload Word Document Select your filled .docx file * Accepted: .doc, .docx (Max 10MB) Profile Photo Upload Profile Photo Portrait photo, plain background (JPG/PNG, max 2MB) Basic Information Full Name * Email ID * Department * -- Select Department -- Anaesthesia Anatomy Biochemistry Central Skill Lab Community Medicine Dentistry Dermatology Emergency Medicine ENT & Head And Neck Surgery Forensic Medicine and Toxicology Medical Education Unit Medicine Microbiology Obstetrics and Gynecology Ophthalmology Orthopedics Paediatrics Pathology Pharmacology Physiology PMR Department Psychiatry Radio-Diagnosis Respiratory Medicine Surgery Designation * -- Select Designation -- Professor & HOD Professor Associate Professor Assistant Professor Senior Resident Junior Resident PG Resident Demonstrator Education / Qualifications Registration Number (DMC) LinkedIn Profile Link Profile Photo Portrait photo, plain background (JPG/PNG, max 2MB) About Short Bio (approx. 100 words) Educational Qualifications Ascending order (MBBS first) S.No.Degree NameYearInstitute Name 1 Add Row Details of Teaching Experience Total Teaching Experience S.No.DesignationInstituteFromToDuration 1 Add Row Publications Total Publications In last 3 years S.No.Publication (Vancouver style)Link 1 Add Row Research Profile Links Google Scholar ORCID Academia Papers Presented Total Presented In last 3 years S.No.TitleConference Details 1 Add Row Memberships and Fellowships S.No.Name of Membership or Fellowship 1 Add Row Awards S.No.Name of Award and Details 1 Add Row Invited Talks and Lectures Only last 3 years S.No.Details of Talk / Lecture / Panel Discussion 1 Add Row Eligibility for External Examiner Institutional Responsibilities S.No.CommitteeRole 1 Add Row Significant Photographs (Optional) Select multiple images (JPG/PNG, max 5MB each) Photo Captions Upload Word Document (Optional) You can additionally attach a Word document for reference. Accepted: .doc, .docx (Max 10MB) Submit Profile for Review By submitting, you confirm that all information provided is accurate.
