AMWA Graduate Medical Education Innovation

AMWA Innovations in Graduate Medical Education

AMWA will support winning innovations to cover material supplies for creation of program toolkits that support innovations in graduate medical education for a total of $1,000. Collaboration across programs and specialties is encouraged. Proposals may be selected to be presented or showcased as a poster during the AMWA GME Symposium at the next AMWA Annual Meeting.
Presenter Information
Name*

First NameLast NameDegrees/Fellowships (e.g. MD, MPH, FACP)
E-mail*
Phone Number*

Area CodePhone Number
Institution/Affiliation - include Residency Program*
Professional Title*
e.g. Assistant Professor at Harvard, Instructor
Are you an AMWA member?*

YesNo
Title of Program*
Background (state the problem and the need - max 100 words)*
Methods (describe the program - max 300 words)*
Discussion (discuss impact of program, how it contributes to GME, feasibility of extending beyond your institution) - max 200 words*
Summary (max 100 words)*
Budget (please include in-kind items and highlight the materials for which funding is requested)*
Identify your key team members, advisers, and their affiliations. (Limit to 1 paragraph)*
Do you or any of your co-authors have any financial disclosures?*
If you have financial disclosures, please describe below:
How many co-authors will listed for your program, including yourself (Please enter a numerical value between 0 and 10. ex. 3)?*
Have ALL abstract authors agreed to proposal submission & potential abstract presentation for the AMWA 2023 Meeting? (ALL authors will be notified of your submission.)*
Please enter the names and email addresses of the co-authors in the text fields below (INCLUDING yourself). These fields will only be present if you have entered a numerical value other than 0 above (do not worry about entering the authors in the correct order here, however, please make sure they are listed in the correct order in the abstract submission box).
Author 1 Name (Presenting Author)*
Author 1 Email (Presenting Author)*
Author 2 Name
Author 2 Email
Author 3 Name
Author 3 Email
Author 4 Name
Author 4 Email
Author 5 Name
Author 5 Email
Author 6 Name
Author 6 Email
Author 7 Name
Author 7 Email
Author 8 Name
Author 8 Email
Author 9 Name
Author 9 Email
Author 10 Name
Author 10 Email
Agreement and Electronic Signature

I affirm that I have reviewed the application instructions and that the facts set forth here are true and complete. I also acknowledge that my $50.00 proposal fee is required to participate, and that it is non-refundable in the circumstance that I am unable to attend. I understand that an email has been sent to each of the authors listed with notification of my submission. If selected for presentation, I understand that I must register and be present at the AMWA annual meeting in Philadelphia, March 23-26, 2023.
Signature (Electronic)*

Submission fee $50.00, non-refundable. Your submission will only be considered if the submission fee is paid.

GME Innovation Proposal$50.00

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AMWA Innovations in Graduate Medical Education

Presenter Information

Agreement and Electronic Signature