Workshop Proposal Submission Form

Your Details

Full Name:  

Address:

Tel:   Fax:

Email:

Please indicate if you wish your submission to be considered as:

Select either Pre-conference Workshop    or     Intra-conference Workshop  (You must select one)

Title of your proposed workshop:

Please indicate one or more topic areas that your event relates to:

Objectives: Please list the objectives of the workshop, indicating knowledge, attitudes and skills that participants should gain from it.

Methods: Please outline what educational methods/interactive learning methods will be used throughout the workshop (or prior to the workshop if you intend to issue any instructions prior to the commencement of the conference).

Experience: What relevant background and personal experience do you have in this area? e.g. Workshop facilitator, medical, dental or healthcare education in general, previous work on this topic?

Outcomes: List the proposed outcomes of the event, e.g. what materials will be produced for distribution (PowerPoint slides, handouts, reports etc). What are the benefits to ASME, your institution and/or to the medical/healthcare community?

Evaluation: How will the event be evaluated?

References: Please supply bibliographic references in support of your submission

N.B. All information submitted on this form will be treated as confidential and will be stored in compliance with the Data Protection Act 1998.