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See International in Partnership with ACE Global
Travel to Teach Training Report
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AR Code
Clinic Overview
Clinic Location / Facility Name
Host Ophthalmologist / Team Lead
Program Start Date
MM slash DD slash YYYY
Program End Date
MM slash DD slash YYYY
Training Narrative
Please describe the training activities that took place during your program, including subject matter covered, format, and duration.
Please share any notable or memorable stories from your trip.
Development Goals
Please describe any plans for continued engagement with the training program. This may include virtual follow-up sessions, ongoing communication with students, or scheduling another Travel to Teach program in the future
Information of Eye Care Professionals Trained
Do you have your individual trainee information in excel format already?
(Required)
Yes
No, I'd like to enter them manually
If you have more than 30 trainees please put your trainee information into excel formatting.
Please upload your trainee information file here:
Accepted file types: csv, xlsx, Max. file size: 50 MB.
Please include trainee first name, last name, email, training category, gender, and summary of training.
Trainee #1
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 1: Summary of Training
Trainee 1: "Other" Category
Trainee #2
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 2: Summary of Training
Trainee 2: "Other" Category
Trainee #3
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 3: Summary of Training
Trainee 3: "Other" Category
Trainee #4
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 4: Summary of Training
Trainee 4: "Other" Category
Trainee #5
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 5: Summary of Training
Trainee 5: "Other" Category
Trainee #6
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 6: Summary of Training
Trainee 6: "Other" Category
Trainee #7
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 7: Summary of Training
Trainee 7: "Other" Category
Trainee #8
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 8: Summary of Training
Trainee 8: "Other" Category
Trainee #9
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 9: Summary of Training
Trainee 9: "Other" Category
Trainee #10
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 10: Summary of Training
Trainee 10: "Other" Category
Trainee #11
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 11: Summary of Training
Trainee 11: "Other" Category
Trainee #12
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 12: Summary of Training
Trainee 12: "Other" Category
Trainee #13
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 13: Summary of Training
Trainee 13: "Other" Category
Trainee #14
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 14: Summary of Training
Trainee 14: "Other" Category
Trainee #15
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 15: Summary of Training
Trainee 15: "Other" Category
Trainee #16
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 16: Summary of Training
Trainee 16: "Other" Category
Trainee #17
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 17: Summary of Training
Trainee 17: "Other" Category
Trainee #18
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 18: Summary of Training
Trainee 18: "Other" Category
Trainee #19
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 19: Summary of Training
Trainee 19: "Other" Category
Trainee #20
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 20: Summary of Training
Trainee 20: "Other" Category
Trainee #21
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 21: Summary of Training
Trainee 21: "Other" Category
Trainee #22
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 22: Summary of Training
Trainee 22: "Other" Category
Trainee #23
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 23: Summary of Training
Trainee 23: "Other" Category
Trainee #24
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 24: Summary of Training
Trainee 24: "Other" Category
Trainee #25
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 25: Summary of Training
Trainee 25: "Other" Category
Trainee #26
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 26: Summary of Training
Trainee 26: "Other" Category
Trainee #27
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 27: Summary of Training
Trainee 27: "Other" Category
Trainee #28
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 28: Summary of Training
Trainee 28: "Other" Category
Trainee #29
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 29: Summary of Training
Trainee 29: "Other" Category
Trainee #30
Name
First
Last
Category
Board-Certified Ophthalmologist
Ophthalmology Resident
Ophthalmology Fellow
Optometrist
Nurse
Technician
Optician
Medical Student
Other
Email
Gender
Male
Female
Non-Binary
Trainee 30: Summary of Training
Trainee 30: "Other" Category
Total Participants by Category
Board-Certified Ophthalmologists
Ophthalmology Residents
Ophthalmology Fellows
Optometrists
Nurses
Technicians
Opticians
Medical Students
Other
Other Trainee Category
Total Overall Trainees
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