Please note that as we have a limited number of available spots, we are unable to accept all proposals.

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* 1. Contact Information

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* 2. Please select the SOGC CME event for which you would like to make a proposal (check all that apply).

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* 3. Session title:

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* 5. Please list 2-4 learning objectives (using verbs from Bloom’s Taxonomy) for this proposed session with assigned CanMEDS Roles to each objective (Medical Expert, Communicator, Collaborator, Leader, Health Advocate, Scholar and/or Professional):

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* 6. Please provide a short description of the evidence, research, or guideline (SOGC or otherwise) supporting the topic:

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* 7. Who is the target audience for this session?

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* 8. How did you determine the perceived or unperceived need for this topic?

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* 9. Please list any special equipment or audio visual requirements for this proposed session:

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* 10. If special equipment is required, who do you see having to provide it?

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* 11. How many faculty members do you feel is required to present this session? (Note: workshops typically have 1-2 faculty.)

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* 12. Please suggest speakers in the following format: Name, credentials/titles (city, province). Please note that all faculty must be members of the SOGC to present.
Example: Jennifer Blake, MD FRCSC (Ottawa, ON).

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