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) Select the Social Impact and Belonging competencies that will be addressed in your presentation: If your presentation includes Social Impact and Belonging competencies, please reference the selected competencies in the learning objectives you listed in question 4 above. Address Differences in Health Outcomes: Includes factors like access, socioeconomic status, environment, policy, and epidemiology that impact health outcomes. Engage in Self-reflection: Clinicians assess how their own experiences, assumptions, and stereotypes affect medical decision-making, and identify strategies to recognize and counteract this impact on clinical encounters. Value Culturally Centered Care: Include challenges and opportunities, and practice asking questions and actively listening when discussing cultural issues and health beliefs with patients and colleagues. Not applicable to my presentation 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 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: * Enter your email address * Leave this field blank