INITIAL APPLICATION FOR APPROVAL TO DEVELOP AN
ISHLT CONSENSUS CONFERENCE
Submit this completed Application to amanda.rowe@ishlt.org at least 15 months prior to the date of the
planned consensus conference. If approved, additional information will be requested and a list of next steps will
be provided.
NOTE: All proposals must be submitted by the S&G Workforce Leader of the appropriate Scientific Council. The
Project Lead must be a current active ISHLT member.
1. Today’s Date:
2. Your Name:
3. Title of the Proposed Consensus Conference:
4. Introduction to the Proposed Consensus Conference
5. Objectives of the Proposed Consensus Conference
6. Scope of Conference:
___ International
___ North American
___ Other (please specify):
7. Rationale for Scope of Conference if other than International:
8. Project Leader(s):
9. Target Audiences (please indicate below ALL specialties that may be able to provide useful input into the
conference or who may find the information in the conference useful in their professional practice):
___ Cardiology
___ Cardiothoracic Surgery
___ Infectious Diseases
___ Mechanical Circulatory Support
___ Nursing, Social Sciences, Allied Health
___ Pathology
___ Pediatrics
___ Pharmacy
___ Pulmonology
___ Pulmonary Hypertension
___ Thoracic Surgery
___ Other (please list):
10. Has this consensus conference proposal been formally submitted to and formally approved by any of the
ISHLT Scientific Councils’ Operating Boards? _____ Yes _____ No
11. If yes, which Council(s):
12. Other consensus conferences or documents that have been published by any organizations in the last 10
years addressing this or a similar topic and the organizations that have developed them:
13. Need for Consensus Conference, including a brief review of the general areas covered by prior documents
(including those from other organizations) and the reason why a consensus conference in the area is needed:
14. Would it be appropriate/useful to develop this consensus conference in collaboration with one or more
other organizations? ___ Yes
___ No
15. If no, why?
16. If yes, please list the organizations:
17. Proposed date(s) of consensus conference:
18. Proposed location of the consensus conference:
19. Proposed number of attendees:
20. Desired Format of Output (e.g., JHLT Manuscript, Presentation at ISHLT Annual Meeting, ISHLT Consensus
Statement, ISHLT Practice Guideline, etc. You may list more than one):
Please submit this completed application to Amanda.Rowe@ishlt.org.
Thank you!