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WGEA_WGSA Proposal Submission Form 2011

WGEA_WGSA Proposal Submission Form 2011

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2011 WGEA/WGSA/WOSR/WAAHP AAMC Western Regional Conference
New Horizons: Selecting, Teaching and Inspiring the Next Generation of Physicians

Stanford University, Li Ka Shing Center for Learning and Knowledge
April 30-May 3, 2011
Hosted by: Stanford School of Medicine

2011 Program Submission Form
Submission Deadline: January 31, 2011

2011 WGEA/WGSA/WOSR/WAAHP AAMC Western Regional Conference
New Horizons: Selecting, Teaching and Inspiring the Next Generation of Physicians

Stanford University, Li Ka Shing Center for Learning and Knowledge
April 30-May 3, 2011
Hosted by: Stanford School of Medicine

2011 Program Submission Form
Submission Deadline: January 31, 2011

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Published by: ucsfmeded on Oct 26, 2010
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2011 WGEA/WGSA/WOSR/WAAHP AAMC Western Regional ConferenceNew Horizons: Selecting, Teaching and Inspiring the Next Generation of Physicians
Stanford University, Li Ka Shing Center for Learning and Knowledge April 30-May 3, 2011Hosted by: Stanford School of Medicine
2011 Program Submission FormSubmission Deadline: January 31, 2011
Instructions:1)Select the target audience (WGEA, WGSA, WOSR or WAAHP) for which your submission isintended2)Select the presentation format for which your proposal would be most appropriate.3)Enter the contact information for the primary presenter and all co-authors.
4)
Workshops, Panels, Small Group Discussions
: Summary should include title, authors andaffiliations. Enter a concise summary of no more than 250 words (not counting title, authors andaffiliations) describing your proposed session (this summary is intended for the conferenceprogram booklet). Please include list at least three objectives, methods, intended outcomes,target audience, and references.
5)
Posters and Oral Presentations/Papers
: Abstracts should include title, authors andaffiliations. Abstracts must be no longer than 250 words (not counting title, authors andaffiliations). Do not include tables or figures. Abstracts must follow one of the following twooutlines: (1) Title, Introduction, Objectives, Methods, Results, Discussion, Target Audience,References; (2) Context, Objectives, Key Message, Conclusion, Target Audience, References.6)List special audiovisual requirements and submit the disclosure form.7)Proposals will be evaluated and given priority based on:
Originality
Clarity
Organization
Fit with conference theme
Soundness of scholarship and research design (where applicable)
Collaboration across institutions
Applicability to learners across the educational continuum
8)
Authors will be notified of their acceptance byFebruary 18, 2011.
9)
Send submissions via e-mail towgea_wgsa2011@stanford.edu and contact Bahij Austin at bahij@stanford.edu; (650) 725-2973 with any questions related to your submissions.
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I. General Information:Audience (more than one may be checked):
 _____ WGEA _____ WGSA _____WOSR _____ WAAHP
Presentation Format:( ) Workshop
Workshops provide a skill-oriented, interactive experience for participants to achieve well-specified objectives. Duration: 90 minutes.
( ) Panel Discussion
Panel Discussions explore a range of perspectives and approaches to a well-definededucational issue. Duration: 90 minutes including brief presentations by 3-5 panelists and a moderator,followed by a discussion with panel and audience.
( ) Small Group Discussion
Small group discussions are led by one or two facilitators who guide the participants through adiscussion of an educational issue or theme. Duration: 90 minutes including brief introduction by thefacilitators followed by the discussion and findings of the group.
( ) Oral Presentation/Paper 
Oral presentations promote the dissemination of completed research projects, or educational/institutional innovations. Duration: 15 minutes, presented in a 90-minute, moderated session thatincludes 3-4 papers organized around a common theme.
( ) Poster Presentation
Poster presentations promote the dissemination of research studies and innovations which maybe ongoing or preliminary. Poster boards are 4 ft X 8 ft and are supplied with lights. Posters willprobably be presented on Sunday, April 25 from 7-9 PM.
PresentersPrimary Presenter (primary contact person):
Full Name/Degree:Institution:Email:Land Telephone:Cell Phone:Mailing Address: 
Additional presenters or co-authors (use additional pages if necessary):
Full Name/Degree:Institution:Email:Land Telephone:Cell Phone:Mailing Address:
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