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18th Annual Academic Surgical Congress

February 7-3, 2023 | Hilton Americas-Houston, Houston, TX

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Session Design Form

"*" indicates required fields

Session Chair*
NOTE: The session chair/co-chair is the person(s) responsible for organizing the session. This may or may not be the session moderator. Please list the session moderator in the Session Outline grid towards the bottom of the form.
A copy of your final session design form will be sent to this email.
Session Co-Chair (If applicable)
As it will be published in the program and on the meeting app.
Provide 1-2 sentences describing the session, including who should attend. This will be listed in the program and on the meeting app.

Practice Gaps

The below information on practice gaps will be provided to our CME accreditor as part of our CME application process.
Please cite your sources.

Session Objectives

Session Objectives will be listed in the program and on the meeting app.

Write at least three objectives focusing on what the learners will do as a result of this activity. Use ACTION words like:

• Adjust
• Articulate
• Classify
• Convey
• Diagnose
• Distinguish
• Hypothesize
• Infer
• Organize
• Prioritize
• Relate
• Apply
• Assess
• Compare
• Create
• Diagram
• Employ
• Identify
• Integrate
• Plan
• Produce
• Select
• Appraise
• Categorize
• Conduct
• Demonstrate
• Differentiate
• Evaluate
• Illustrate
• Interpret
• Predict
• Recognize
• Solve
• Arrange
• Choose
• Construct
• Develop
• Discriminate
• Formulate
• Implement
• Manage
• Prepare
• Recommend
• Use

At the conclusion of this session, participants will be able to:

Session Outline

The information listed below will be used to build the published program and the meeting app. Once submitted if you have any changes to the speakers, talk titles, or speaker order please contact [email protected]
Create the outline of your session below:*
Use the + icon on the right side of the row to add another line to your session outline. Add as many lines as you require. Please include any introductions, breaks, discussion, Q&A, or Audience Response to the outline. For any moderators, please add them to the list and assign them with a 0 (zero) in the speaker order. Please make the total time allotted below match the time given for your session. For the Objective column, use the number from the objectives above.
Presenter Order
Presentation Title
Presenter Name
Presenter Email
Time Allotted (minutes)
Objective
 

Reminders!

Potential Bias/Conflict of Interest Review: You may be required to review the faculty presentation(s) in advance of the meeting if the ASC Conflict of Interest Committee determines that there may be potential bias due to the faculty member's relationship with an ACCME-defined ineligible company.

Educational Delivery Method

Check all that apply:
Why did you select this type of delivery method?

AV

PLEASE NOTE: All AV requests are subject to approval by the ASC Core Committee.
If you have any specific requests for AV, please let us know below. If you are planning to use any audience response polling, please note that here as well as in the session outline above. Any AV additional requests must be submitted for approval by December 1, 2022.
This field is for validation purposes and should be left unchanged.

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