Faculty Development Lecture Proposal

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in providing an institutional faculty development lecture. Our faculty development lecture series focuses on the ACGME required areas of teaching, well-being, quality improvement and patient safety, and diversity and inclusion. Please complete the following information to help us learn about the topic you would like to cover. We will get back to you in a timely manner.

First and Last Name *

Department *

Your Email *

Please select the area of emphasis *

Teaching Skills

Well-Being

Quality Improvement and Patient Safety

Proposed Title of Your Presentation *

Have you provided this lecture previously? If so, please list.

A short description of the presentation’s focus (less than a short paragraph) and can be a few sentences. *

List at least 3 learning objectives *

Once you submit this form, it will automatically be sent to Charity.Snodgrass@jax.ufl.edu and reviewed by Dr. Kalynych in the Office of Educational Affairs. Thank you, we appreciate your willingness to help provide continuing education to our faculty!

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms