PACEP: 2021 Scientific Assembly Speaker Form
Theme: PACEP: Past, Present and Future
Submission Date
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Month
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Day
Year
Name
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First Name
Last Name
Credentials
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Email
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example@example.com
Phone Number
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Area Code
Phone Number
Curriculum Vitae
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Browse Files
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I am a PACEP member
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Yes
No
I am interested in speaking on the following topic:
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Title of talk, if already prepared:
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Course Description:
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Learning Objectives - The participant should be able to: (List 3)
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Why is this topic important?
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Instruction method(s) the activity will use to achieve the learning objective(s):
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Lecture with Q&A
Hands-on
Link to Previously Recorded Talk (optional)
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