ADAQ Clinic Day 2026 - Presenter Expression of Interest
Share your details in about 5 minutes—required fields are marked with an asterisk.
About You
Full Name
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First Name
Last Name
Email Address
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example@example.com
Professional role
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Dentist (including specialists)
Dental Therapist / Dental Hygienist / Oral Health Therapist
Academic / Researcher
Digital Health / AI Specialist
Other
If Other, please specify your role
Brief professional biography
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Your Proposed Session
Working title of your proposed session
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Which program pillar does your session best align with?
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Theme 1: Digital & AI in Practice — e.g. AI diagnostics, digital records, CAD/CAM, digital health platforms
Theme 2: Clinical Mastery — e.g. cariology, diagnosis and treatment planning, endodontics, periodontics, prosthodontics, oral surgery, orthodontics, pharmacology
Theme 3: The Resilient Practitioner — e.g. wellbeing, burnout prevention and communication skills.
Preferred session format
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Presentation (45–60 minutes)
Hands-on Workshop (60–90 minutes)
Open to either — ADAQ's preference.
Session abstract
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Key learning outcome 1
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Key learning outcome 2
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Key learning outcome 3
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Conflict of Interest
Important: Disclosure is a condition of submission and does not automatically disqualify your application. ADAQ reviews all declarations on a case-by-case basis.
Do you have any financial or non-financial relationship with a commercial entity relevant to your proposed topic? This includes employment, consultancy, speaker fees, research funding, or shareholdings with a dental supplier, technology company, or pharmaceutical company.
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No — I have no conflict of interest to declare
Yes — please provide brief details below.
If yes, please provide brief details
Confirmation
Please confirm the following
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The information in this submission is accurate and complete
My proposed content is evidence-informed and free of commercial bias
I am available to present in person in Brisbane on 6 November 2026, and to submit presentation materials by 23 October 2026
I consent to ADAQ using my name, biography, and abstract for promotional purposes if accepted.
Name
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Date
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Day
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Month
Year
2 digit day, 2 digit month, 4 digit year
Date
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