Faculty Development Summit Proposal Submission Form

Thank you for your interest in presenting at the Faculty Development Summit, hosted by the School of Medicine Office of Faculty Development.

If you have not already done so, please read the full Call for Proposals prior to beginning your submission.

Important Dates:

Proposal submissions are due by 11:59 p.m. on Wed., Feb. 7, 2024 (extended from previous Jan. 31 deadline)
We will notify you of the committee's decision regarding your proposal no later than Feb. 29, 2024.

If you have any questions, please contact us facdev@ohsu.edu.

General details

Contact Name*

Contact information for the person completing this form.

Contact Email*

Target Department*

Faculty from which department/division(s) are targeted by this approach? If applicable to ALL faculty, please also indicate the department(s) that sponsor or fund this approach.

Select or enter value

Target Division*

Proposal submission domain*

Which domain does your approach best apply to? (Refer to the Call for Proposals for descriptions of these domains)

Select

Other Focus Area*

Proposal Title*

Number of presenters*

Select

Presenter details

Primary presenter name*

Primary presenter email*

Primary presenter degree(s)*

Primary presenter appointment/title*

Primary presenter Department/Division*

Select or enter value

Additional presenter details

Please enter the following information for all additional presenters: Name Email Degree(s) Appointment/title

Proposal details

Please write an abstract (approximately 500 words) addressing the following components of your actual or planned approach to faculty development:

Target audience
Identified need or gap that this initiative serves
Rationale for specific program design (citations preferred)
Required funding and support
Measured or expected impact/effectiveness (e.g. comparative rates of faculty retention and advancement, improvements to well-being measurements, scholarly output, etc.)
Possibilities or limitations for replication
If applicable: how the approach is anti-racist and addresses diversity, equity and inclusion
Additional relevant findings

Refer to the scoring rubric to see how proposals will be evaluated.

Submission abstract*

Supporting Documents

You are welcome to upload other materials that you believe would be helpful in fully describing your approach and its outcomes. Note: Please do not upload your proposal abstract itself as a separate document. Use the space provided above instead.

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