sample template - The 20th Biennial International Perinatal

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EDUCATIONAL PLANNING TABLE
LIVE EVENT
Instructions: Type directly into blank cells of the tables. Save the completed form to your computer.
Educational Activity:
20th International Perinatal Bereavement Conference (IPBC) 2016
Individual Session Title:
Be as specific as possible, but succinct, to spark interest
Description of Activity:
Include pertinent information needed for CFP reviewers to completely assess presentation intention by reading this
description (usually 2-3 sentences). Include type of presentation (see Call for Proposals for information).
OBJECTIVES
CONTENT
List learner’s objectives in behavioral
terms. (After completing this activity, the
learner will be able to…)
Provide an outline of the content for each objective. It
must be more than a restatement of the objective.
TIME FRAME
State the time
frame for each
objective.
Specific content to be presented to meet
objective
(Maximum 200- word for the entire content
column)
List objective to be met:
(See Call for Proposals for specific
instructions on what verbs to use
with objectives)
Specific content to meet objective:
Objective #1
Specific content #1
Objective #2
Specific content #2
Objective #3
Specific content #3
PRESENTER
List the faculty for each
objective.
Name of presenter
with credentials
Enter total
presentation
time, not
including
question &
answer
Question & Answers
10”
Name of presenter
for this content
TEACHING METHODS
List the teaching methods,
strategies, materials & resources
for each objective.
Type of presentation to be
used, for example Lecture,
PowerPoint, video, small
group activities, stories
Type of presentation to be
used, for example Lecture,
PowerPoint, video, small
group activities, stories
Name of presenter
or moderator for
Q&A
(Add more rows as needed by placing cursor outside of last row and clicking ‘Enter’ key.)
Total minutes for this activity/session (including time spent evaluating the activity) = 60
December 20, 2012
1
List the evidence-based reference(s) used for developing the content of this educational activity/session next to the appropriate category.
Information from organization/website:
(may be published or unpublished content.
Examples – Centers for Disease Control, National
Institutes of Health)
Peer –reviewed journal/resource:
(reference should be within past 5-7
years)
This section may include original research, theoretical papers, clinical practice innovations, and other material
from peer-reviewed journals
Clinical guidelines: (published or online.
Example -www.guidelines.gov)
Expert resource: (individual,
organization, or educational institution
- book, article, website)
Textbook reference:
Other: Classic and influential
references
2
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