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GSHP 2023 Fall Meeting Guideline Update Submission
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Professional Degree/Credentials
*
Examples: PharmD Candidate, PharmD, BCPS, BCACP, etc
Your answer
Employer/Affiliated Organization
*
Health care organization or college of pharmacy name
Your answer
City/State
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Resident or Practitioner
*
Resident
Pracitioner
If resident, please provide the name and email address of the preceptor and/or RPD that will act as your advisor for this presentation. If practitioner, please mark N/A.
*
Your answer
Please select the guideline update you would be willing to provide (may select up to 2).
Topics with * are preferred topics as suggested by membership and the Educational Affairs committee.
*
Pregnancy/pediatric HIV*
COPD*
HFSA durable mechanical circulatory support update*
COVID/ID (paxlovid approval)
KDIGO diabetes
Adolescent obesity
Osteoporosis
Other:
Required
If you suggested a guideline under "Other," please provide justification for why this update is applicable to meeting attendees.
Your answer
Experience/Qualifications that make you qualified to present on this topic.
*
Your answer
Brief description of 3 key changes to the guideline selected above that you plan to highlight for the audience.
*
Your answer
Please initial and date that you agree to and understand the following statement:
By submitting this form, you are agreeing that you are available to present Friday, Oct 20 8:45am.
*
Your answer
Other pertinent/recent guideline updates you recommend for future meetings.
Your answer
A copy of your responses will be emailed to the address you provided.
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