Input the title of the presentation.

If you are completing this form for an oral presentation, please input a brief outline of the presentation. If you are completing this form for a poster presentation, please provide a brief, 1-2 sentence overview of your project.

If you are completing this form for an oral presentation, please input the amount of time required for each section of your outline. If you are completing this form for a poster presentation, please write "N/A".

Input the first and last name of the presenter(s) (e.g. John Doe). Separate each presenter with a comma. Do not include credentials.

List the recent, relevant and high-quality evidence used to develop the presentation (e.g. peer-reviewed articles, clinical guidelines, expert opinion, textbooks, organization policies/procedures, etc.). At least one reference must have been published within the past 5 years. You may also include a seminal work.

Please input any technical support your presentation may require (e.g. clickers, polling software, etc.)

I have carefully evaluated each item on this form. I attest to the accuracy of the information given. Typing my name below serves as my electronic signature.