Texas Emergency Athletic Management Seminar

CEU Presentation Portal
Name and Professional Credentials*

PrefixFirst NameMiddle NameLast NameCredentials
Title*
Current Employment*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Curriculum Vitae Upload*

File must be in .docx or .pdf format
Cancelof
Will there be a co-presenter?

YesNo
Head Shot for Program*

Cancelof
Short Biography*

Biography will be used for introductory purposes only.
Cancelof

Presentation Information
Title of Presentation*
Select the domain(s) that your presentation will cover*

Injury& Illness Prevention & Wellness PromotionExamination, Assessment & DiagnosisImmediate & Emergency CareTherapeutic InterventionHealth Care Administration and Professional Responsibility
Identify the skill level of the presentation*

EssentialAdvancedMastery
Presentation Abstract*

100 words or less, must be in .docx or .pdf format
Cancelof
Objectives

State the learning objectives of the session, i.e. "At the conclusion of the program, participants will be able to....." (Must list at least three objectives)

Please click link below for more information on objectives.

BOC Measurable Learning Objectives

Remember that objectives MUST be measurable.

Please refrain from using the following words: Consider, Learn, Understand, Initiate
Measurable Learning Objectives (must include at least three)*
Determine Practice Gap and Educational Need

Identify the knowledge, competancy,and/or performance gap(s) to be addressed by this program. In other words..What is it that Athletic Trainer don’t know or what aren’t they doing in practice?To identify a professional practice gap, ask:
What is the practice-based problem?
How do you know it is a problem?
What data do you have to validate the problem?
What is the reason the problem exists?

Example:

Youth strength programs too often are developed on the premises that it is crucial that elementary and middle school athletes are trained in a somewhat similar manner as high school athletes, but do not take into account the importance of training program differences due to the demands of their sport as well as their physiological capabilities and potential adaptations to
training.Conference attendees will be able to design a strength training program for elementary and middle school athletes that improves performance while remaining within the safety barriers of the Pediatric athlete, avoiding overtraining and burnout.
Practice Gap/Educational Need:*
Expected Outcomes
What do you expect participants will learn at the conclusion of your presentation?*
Educational Materials:
Please list any educational materials you will be using i.e. power point, videos, labs
Conflicts of Interest

You are required to disclose any conflicts of interest in your power point presentation with a slide in the begining of presentation and also state it verbally to the audience.
List any conflicts of interest, including affiliation with a commercial product or service. If there are no conflicts of interest, please state NONE*
Speaker Release
Please Sign*

Powered by Jotform SignClear
Name*

First NameLast Name
Should be Empty:

CEU Presentation Portal

Presentation Information

Objectives

Determine Practice Gap and Educational Need

Expected Outcomes

Conflicts of Interest

Speaker Release