2025 SBMAA - Presenter Request Form

Presenter Request Form

2025 MEDS Conference, Los Angeles
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Job Title and affiliation*
Jamaat City*
Have you presented at a professional conference before?*

YesNo
Have you given a Continued Medical Education (CME) talk before?*

YesNo
Have you used audience interaction technologies in your previous talks?*

YesNo
What audience interactive technologies have you used?*

KahootQuizizzMentimeterOther
Please upload slide deck of previous talks (CME or otherwise)*

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Credentials*
CV Upload (Optional)

Cancelof
Presentation Title*
Presentation Learning Objectives (3-5)*
Brief Description of the session (100-150 words)*
Presentation Format*

PowerPointPanel DiscussionWorkshop
Presentation Length*

30 mins45 mins60 mins
Presentation Target Audience*
Which other health professionals can you possibly collaborate with?*
How is this presentation mumin centric (briefly explain)?*
Will your presentation include any multimedia, live demonstrations or audience interaction?*

YesNo
What audience interaction technologies will you use?*

KahootQuizzezMentimeterOther
Final CME presentations will need to be submitted Sept 1, 2025
Which SBMAA Conference have you attended?*

2019 - Chicago2022 - Chicago2023 - Dallas2024 - Los AngelesNone of the above
Any comments?
Should be Empty:

Presenter Request Form