Department of Continuing Medical Education

The Annual Pediatric Postgraduate Course
SPEAKER CONFIRMATION FORM

 

 

Please complete the following form as soon as possible so that we may adequately prepare for your presentation


Presentation Details

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Select the date your presentation is scheduled for
Learning Objectives

Please provide at least 3 learning objectives for your presentation.

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Select this option to add a fourth or more objectives. Make sure to number any additional objectives.
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Speaker Contact Information

All speakers will be expected to participate in the live Q&A session via zoom, taking place after their session airs. These Q&A sessions will range between 5-15 min depending on the presentation block and the date/time is included in your invitation letter. 

Please provide a phone number where we can reach you on the day of the conference. This number will be used for emergencies only in the event you fail to connect at the scheduled time, or need to be reached out to trouble-shoot your connection. You can also provide alternate emails for us to send you speaker documentations, reminders, and/or other communications.

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Speaker Agreement Confirmation

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