1 Start 2 Complete Title of Presentation * Your Name/Credentials as you want them to appear on the course page: * Your bio in a brief 2-3 sentences: This information will be used to introduce you at the conference. At least three measurable learning objectives specific to your presentation: * Learning objectives should be statements that define what participants are expected to gain during your educational activity. They should identify a change in competence, skills, abilities, and/or performance. To help to write these learning objectives, think in terms of “By the end of this presentation, members of the healthcare team will [be able to]… (define, demonstrate, discuss, explain, identify, increase, illustrate, apply, compare, etc.)” 1. 2. 3. What interactive activity will you use during your session to help attendees from different fields connect and learn from one another's experiences? E.g., live polls, small group discussions, case studies (https://ce.icep.wisc.edu/sites/default/files/Interactivity_ActiveLearningStrategies_20200223.pdf) Will this activity address factors that influence population health? * Yes No Factor(s) addressed: * E.g., housing instability, health literacy, transportation, access to care, environmental or economic factors, social determinants of health Learner strategy: * Describe 1-2 practical strategies learners will gain to address these factors in their practice. Does this activity use health or practice data? * Yes No Data type/source: * E.g., CDC surveillance, internal EHR quality metrics, clinical trial outcomes Educational purpose: * E.g., to highlight a clinical gap, benchmark current care, demonstrate therapy effectiveness Will this activity include learners practicing communication skills and giving them feedback to help them improve? * Yes No Please describe how you’ll observe the learner’s communication skills and how you will share feedback: * Will this activity include learners practicing a technical or procedural skill and giving them feedback to help them improve? * Yes No Please describe how you’ll observe the learner’s technical or procedural skill and how you will share feedback: * Will this activity cover content on pharmacotherapeutics? * Yes No To award pharmacotherapeutic credit, please give an estimated percentage of content in your presentation covering pharmacotherapeutics: * Pharmacotherapeutic content may include, but is not limited to, drug specific information, safe prescribing practices, safe medication administration, prescribing methodologies, new regulations or similar content. % Lifelong Learning and Self-Assessment (MOC Part 2)To meet the requirements for Maintenance of Certification (MOC) continuing education credit, please provide question, potential answers, the correct answer, an explanation for the correct answer, we are required to assess learners’ ability to apply course material to practice. Please submit 2 to 3 multiple-choice assessment questions aligned with your session’s learning objectives. Providing 2-3 questions will ensure adequate rigor and allows flexibility should any item require revision during accreditation review. Question RequirementsFor each question, please provide:A short clinical scenario or practice-based question testing application of knowledge to practice (avoid simple recall)4 to 5 answer optionsClearly indicated single best answerA brief explanation explaining why the correct answer is right and why key distractors are incorrectA specific reference or citation (peer-reviewed journal, clinical guideline, or textbook) supporting the correct answerAnswers must be multiple choice. Please do not provide true/false, all of the above, or none of the above-type answers. Phrase questions positively (e.g., "Which of the following is the most appropriate initial step?") rather than negatively (e.g., "Which of the following is NOT..."). Example of Learning Objective, Question, Answers, and Explanation:Learning Objective: “As a result of participation in this activity, members of the healthcare team will be able to…”Implement an improvement plan for streamlining documentation in the health record as a means to improving efficiency while shortening note lengths.Question: Coding guidelines were updated in 2021 and then 2023 to support clinicians in reducing documentation burdens. As a result of these changes, which of the following data elements are required to code for an office visit CPT code (i.e. 99202-99215)?Review of SystemsPhysical ExamPast Medical/Social/Family HistoryMedical Decision MakingAnswer: 4 - Medical Decision MakingExplanation: There are no longer requirements for documenting any specific sections of the note to reach billable levels other than supporting documentation to justify medical decision making. That is not to say that you should not document a review of systems, physical exam, or past histories. Rather these only should be documented if relevant and important to capture. You can save time by not spending excess effort on documenting things that are not needed.Reference: https://www.ama-assn.org/system/files/2023-e-m-descriptors-guidelines.pdf Write assessment question 1 and details: Learning Objective: Question: Potential Answers: 1. 2. 3. 4. 5. Correct Answer: Explanation: Reference: Write assessment question 2 and details: Learning Objective: Question: Potential Answers: 1. 2. 3. 4. 5. Correct Answer: Explanation: Reference: Write assessment question 3 and details: Learning Objective: Question: Potential Answers: 1. 2. 3. 4. 5. Correct Answer: Explanation: Reference: Leave this field blank