Department of Continuing Medical EducationPediatric Postgraduate CourseSPEAKER CONFIRMATION FORM Please complete the following form as soon as possible so that we may prepare for your speaking arrangement. Presentation Title * Select your presentation format * Select the format in which you will conduct your presentation. If you're unsure, please contact the CME Department at cme@nicklauschildrens.org to confirm. Live Pre-Recorded Presentation (to be shown during the live conference stream) On-Demand Pre-Recorded Presentation (available on-demand once the conference starts) Presentation Date * My PPGC talk will be shown on: Month MonthMar Day Day192021 Year Year2021 Learning ObjectivesAt the conclusion of this presentation, attendees are expected to: Objective 1 * Objective 2 * Objective 3 * Add additional objectives? Select this option to add a fourth or more objectives. Make sure to number any additional objectives. Yes Objective 4+ * I plan to include the following elements in my presentation: * (Select all that apply) Audio Playback (playing an audio recording) Video Playback (YouTube or other video will be shown) None of the above Other (please describe)... I plan to include the following elements in my presentation: Other (please describe)... Would you like us to tag you directly on our social media advertisement campaign? * Information for this year's Pediatric Postgraduate Course talks will be shared across Twitter, Instagram, and Facebook. The posts will advertise the talk's title and speaker. Let us know if you'd like to be tagged in any of our posts. If yes, please enter at least ONE of your social media handles. (If you do not have any social media accounts, we will still mention you by name) Yes No Twitter Instagram Facebook By entering my name below I agree to submit my slides no later than 24 hours before my scheduled recording session and complete any requested forms via the iLearnPeds.com platform. * email * Your user email will be entered as default. If you are not logged in or do not have an iLearnPeds.com account yet, please enter the email you intend to register your account with. Leave this field blank