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CME & ACSC Member Topic Proposals
for 2019
(does not include abstract papers)
Please note that as we have a limited number of available spots, we are unable to accept all proposals.
*
1.
Contact Information
(Required.)
Name (must be a member of the SOGC to submit a proposal)
*
Email Address
Phone Number
*
2.
Please select the SOGC CME event for which you would like to make a proposal (check all that apply).
(Required.)
Annual Clinical and Scientific Conference (ACSC) in June
(French or English presentations; deadline to submit for this conference is July 1)
Quebec Regional CME during early Fall
(French presentations only; deadline to submit for this conference is January 1)
Ontario Regional CME in December
(English presentations only; deadline to submit for this conference is February 1)
West/Central CME in March
(English presentations only; deadline to submit for this conference is July 1)
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3.
Session title:
(Required.)
*
4.
Type of session proposed:
(Required.)
Workshop (50-60 minutes)
Plenary session (30-40 minutes)
Enhanced skills course
(120+ minutes)
Other (please specify)
Autre (veuillez préciser)
*
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):
(Required.)
6.
Please provide a short description of the evidence, research, or guideline (SOGC or otherwise) supporting the topic:
7.
Who is the target audience for this session?
*
8.
How did you determine the perceived or unperceived need for this topic?
(Required.)
9.
Please list any special equipment or audio visual requirements for this proposed session:
10.
If special equipment is required, who do you see having to provide it?
N/A
SOGC
Other (please specify)
*
11.
How many faculty members do you feel is required to present this session? (Note: workshops typically have 1-2 faculty.)
(Required.)
1
2
3+ (Please provide reasoning for proposing more than 2 faculty members.)
*
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).
(Required.)
Suggest speaker 1:
Suggest speaker 2:
Suggest speaker 3:
Suggest speaker 4: