Clin Ops at Sea

Speaker Submission (CME-Compliant)

Thank you for your interest in contributing to Clin Ops at Sea. Please complete the following form in its entirety.

1. Speaker Information

Name

Credentials

Title

Organization

Email Address

Phone Number

Short Biography

Do you have any financial relationships to disclose?

Yes

2. Session Proposal

Session Title

Should not contain speaker or company names. (≤10 words)

Session Description

A clear summary of the session's focus and goals. (≤150 words)

Audience Level

Session Format

3. Learning Objectives

At the end of this session, participants will be able to... (use active verbs like "apply," "evaluate," "design"). Please provide three.

Objective 1

Objective 2

Objective 3

4. Session Outline

Outline

Provide a high-level outline of your session, including intro, content sections, interactive component, and conclusion.

5. Audience Assessment Questions (for CME Credit)

Provide three questions aligned to your learning objectives to assess audience understanding. Include the correct answer and a brief explanation.

Question 1

Question

Answer & Explanation

Question 2

Question

Answer & Explanation

Question 3

Question

Answer & Explanation

6. Compliance Acknowledgment

I agree to comply with the CME guidelines.

I understand that my presentation must be free of commercial bias, may not contain logos, and that all financial disclosures must be stated on the first slide. I agree to submit all materials by the deadline for CME review.