Department of Continuing Medical EducationRSS Session Activity Planning FormThis form is to give the Director of Medical Education and CME office information on your activity planning process for individual sessions of an approved Recurrent Seminary Series (RSS). This form must be completed for each individual session of an RSS before the session is advertised as being a CME activity. Name of person completing this form * email * Your iLearn 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 use when registering. Presentation Details Date of your presentation: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202420252026 Presentation Title/Topic: * Presentation format: * - I will be presenting... - In person (in front of a live audience) Virtually (through Zoom) Presenter Information Speaker(s): * List any and all presenters for this talk Moderator(s) * List any and all moderators for this talk Learning ObjectivesList a minimum of three (3) learning objectives in terms of: "At the conclusion of this activity, participants should be able to…" Objective 1 * Objective 2 * Objective 3 * Additional objectives? Yes Objective 4+ * Enter any additional objectives below, separated by periods or numbers. Presentation Stype: * Single Lecture (single speaker) Single Lecture (multi speaker) Multiple Lectures (multiple speakers) Q&A Panel Other... Presentation Stype: Other... My virtual presentation will require/include... * Polling (Via Zoom) Polling (Via Poll Everywhere) Break Out Rooms (Via Zoom) Gamification (Kahoot, etc.) Video/Audio Playback Other... My virtual presentation will require/include... Other... I will need the following when recording my presentation... * Assistance with Zoom set-up/installation Recording to be scheduled outside reg. business hours (M-F, 8am -5pm EST) A quiet location to record (unable to record in the office or at home) Other... I will need the following when recording my presentation... Other... Presentation CategoriesUsers can use the following categories & keywords to filter and find relevant sessions when searching for available activities in our course search. Please select AT LEAST ONE related subspecialty, and any optional keyword(s) below as it relates to your presentation. Related Subspecialties * Adolescent Medicine Allergy and Immunology Anesthesiology Child Abuse Pediatrics Child Life Dermatology Developmental-Behavioral Pediatrics Family Medicine General Pediatrics Hospice & Palliative Care Medical Genetics Medical Toxicology Neonatal-Perinatal Medicine Neurological Surgery Nursing Nutrition Obstetrics and Gynecology Occupational Therapy Ophthalmology Orthopedic Surgery Otolaryngology Pathology Pediatric Cardiology Pediatric Critical Care Medicine Pediatric Dentistry Pediatric Emergency Medicine Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology-Oncology Pediatric Hospital Medicine Pediatric Infectious Diseases Pediatric Nephrology Pediatric Neurology Pediatric Pulmonology Pediatric Rheumatology Pediatric Transplant Hepatology Pharmacy Physical Medicine and Rehabilitation Physical Therapy Plastic Surgery Psychiatry Psychology Radiology Sleep Medicine Speech Therapy Sports Medicine Surgery Thoracic Surgery Urology Optional Keywords COVID-19 Health Equity Health Disparities Pain Management Practice Management Preventive Medicine Quality Improvement Research Risk Management Treatment of Opioid/Substace Use Disorders Professional Wellness Other...(list additional key-words) Optional Keywords Other...(list additional key-words) Leave this field blank
