SAGES Faculty - Session Chair Design Form

Please use the following form to create your Session Outline for the SAGES Annual Meeting. You may save this form at any time by scrolling to the bottom of the page and clicking the “Save” link.

After saving the form, you will get a custom link to recall it for more edits. You may share that link with your co-chairs and they will be able to pick up where you left off and edit.

Download a Sample/Instructions SAGES Session Design Form for guidance.

Session Chair*
First (Given) Name Last (Family) Name
Session Co-Chair
First (Given) Name Last (Family) Name
Session Co-Chair #2
If applicable
First (Given) Name Last (Family) Name
Session Title*
(as provided in your invitation)
Session Description*
For use in marketing materials. Describe the session/course and who should attend and why. Please be brief; no more than two or three sentences:
Does this session have any special technology needs?*
e.g. Live polling of the audience; Facebook Live integration, etc.
- Yes
- No
If yes, please describe your special technology needs.*
Do you require a non-standard room/stage layout.*
Standard layout is a podium, stage with panel table, fixed microphone, projection
- Yes
- No
If yes, please describe your layout needs*
Practice Gaps
Access the SAGES Practice Gap Bank. If the site prompts you for a password, it is SAGESGAPBANK.

Also see SAGES gap manuscripts:

https://www.ncbi.nlm.nih.gov/pubmed/24196552/

https://www.ncbi.nlm.nih.gov/pubmed/26335080/

https://www.sages.org/publications/guidelines/top-down-or-bottom-up-longitudinal-assessment-of-the-influence-of-professional-practice-gaps-in-gastrointestinal-and-endoscopic-surgery-on-program-content-for-the-annual-meeting-of-the-society/
1. What problem(s) are you are trying to fix?*
What is needed to fix the problem?*
Why does this problem exist?*
- Physicians lack knowledge
- Physicians lack strategies to apply knowledge to practice
- Physicians don't do it
Session Objectives
Select the number of session goals you will write:*

Write at least three objectives focusing on what the learners will do as a result of this activity. Use ACTION words like:

• Adjust
• Articulate
• Classify
• Convey
• Diagnose
• Distinguish
• Hypothesize
• Infer
• Organize
• Prioritize
• Relate

• Apply
• Assess
• Compare
• Create
• Diagram
• Employ
• Identify
• Integrate
• Plan
• Produce
• Select

• Appraise
• Categorize
• Conduct
• Demonstrate
• Differentiate
• Evaluate
• Illustrate
• Interpret
• Predict
• Recognize
• Solve

• Arrange
• Choose
• Construct
• Develop
• Discriminate
• Fomulate
• Implement
• Manage
• Prepare
• Recommend
• Use

If applicable to your session, draft at least one of your objectives to relate to patient safety. Example: Identify situations in which there is a high risk of bile duct injury

At the conclusion of this session, participants will be able to:

Session Objective 1*
Session Objective 2*
Session Objective 3*
Session Objective 4*
Session Objective 5*
Session Outline

Outline

Speaker Order	Title of Presentation or Activity	Presenter/Faculty Name	Time allotted in minutes	Actions
				Edit Delete
There are no Activities/Presentations.

Maximum number of activities/presentations reached.

Reminders!
1. Do not invite or notify your desired faculty yet, they must first be approved by the Program Chairs.
2. You will be required to review all of your faculty disclosures and determine if their financial relationships with companies creates a conflict of interest. If yes, you may be required to peer review the presentation in advance of the meeting.
Guidelines
Access the full list of SAGES Guidelines to read full text. Return here when ready to make selections.
Choose any relevant SAGES Guidelines that apply to this session:
- A Consensus Document on Robotic Surgery
- ASCRS/SAGES Guidelines for Laparoscopic Colectomy Course
- Clinical Spotlight Review: Laparoscopic Common Bile Duct Exploration (December 2017)
- Clinical Spotlight Review: TransAnal Minimally Invasive Surgery (TAMIS) (June 2017)
- Curriculum Outline for Resident Education
- Educational Mission Statement
- Endoluminal Treatments for Gastroesophageal Reflux Disease (GERD)
- Ethical Considerations Regarding the Implementation of New Technologies and Techniques in Surgery
- Framework for Post-Residency Surgical Education & Training
- Granting of Privileges for Gastrointestinal Endoscopy
- Guidelines for Clinical Application of Laparoscopic Bariatric Surgery
- Guidelines for Deep Venous Thrombosis Prophylaxis During Laparoscopic Surgery
- Guidelines for Enhanced Recovery After Colon and Rectal Surgery (July 2017)
- Guidelines for Diagnosis, Treatment, and Use of Laparoscopy for Surgical Problems during Pregnancy
- Guidelines for Diagnostic Laparoscopy
- Guidelines for Granting of Ultrasonography Privileges for Surgeons
- Guidelines for Institutions Granting Bariatric Privileges Utilizing Laparoscopic Techniques
- Guidelines for Institutions Granting Privileges Utilizing Laparoscopic and/or Thoracoscopic Techniques
- Guidelines for Laparoscopic Appendectomy
- Guidelines for Laparoscopic Peritoneal Dialysis Access Surgery
- Guidelines for Laparoscopic Resection of Curable Colon and Rectal Cancer
- Guidelines for Laparoscopic Ventral Hernia Repair
- Guidelines For Office Endoscopic Services
- Guidelines for Surgical Treatment of Gastroesophageal Reflux Disease (GERD)
- Guidelines for the Clinical Application of Laparoscopic Biliary Tract Surgery
- Guidelines for the Management of Hiatal Hernia
- Guidelines for the Minimally Invasive Treatment of Adrenal Pathology
- Guidelines for the Surgical Practice of Telemedicine
- Guidelines for the Surgical Treatment of Esophageal Achalasia
- Guidelines for the Use of Laparoscopic Ultrasound
- Guidelines for the Use of Laparoscopy during Pregnancy (May 2017)
- Guidelines for Training in Diagnostic and Therapeutic Endoscopic Retrograde Cholangiopancreatography (ERCP)
- Implementation Manual for the World Health Organization Surgical Safety Checklist (First Edition)
- Infection Control During GI Endoscopy
- Integrating Advanced Laparoscopy into Surgical Residency Training -- A SAGES Position Paper
- Laparoscopic Colectomy for Curable Cancer
- Position Statement on Advanced Laparoscopic Training
- Position Statement on Endolumenal Therapies for Gastrointestinal Diseases
- Role of Endoscopy in the Bariatric Surgery Patient
- Sedation and Anesthesia in GI Endoscopy
- Statement on the Relationship Between Professional Medical Associations and Industry
- TAVAC Covidien Radial Reload with Tristaple Technology
- TAVAC neoClose Review
- TAVAC Safety and Effectiveness Analysis: LINX® Reflux Management System
- VTE Prophylaxis for Laparoscopic Surgery Guidelines: An Update (March 2017)
- Other Society Guideline
Other Society Guideline(s)*
Please list the title of the guideline AND a link to access it here.
Learning Themes
Which of the following learning themes are applicable to your course/session/panel?*
- Colorectal
- Bariatrics
- Hernias
- Foregut
- Solid Organ
- Acute Care
- Robotics
- HPB / Biliary
- Professional / Economic
- Academic / Educational
- Flexible Endoscopy
- New Technologies / Skills Acquisition
State Specific CME Requirements
Please indicate if your course would meet any of the category-specific requirements?*
Select all that apply or just n/a if none.
Target Audience / Difficulty Level
Please choose the most appropriate level for this course/panel*
- 100 Level - Competency: Appropriate for a surgeon coming out of fellowship or finishing residency OR a generalist who does not work in this field OR a specialist who does not work in this field
- 200 Level - Proficiency: Appropriate for a typical practicing SAGES surgeon 3-5 years out from training or a generalist who does some work in this field
- 300 Level - Mastery: Appropriate for a SAGES surgeon seeking in-depth knowledge in this topic
- All Levels - Material is of value to all levels and has nothing to do with the difficulty levels
HANDS ON COURSE Chairs Only
Are there any additional criteria for participants taking the course?
(e.g. the course is geared towards practicing physicians and requires a minimum of 20 lap colectomies)?
- Yes
- No
- Don't Know
Describe Criteria*
Please reference this Sample SAGES Session Design Form for appropriate question formatting. Questions must be case-based.
Name
This field is for validation purposes and should be left unchanged.

Save and Continue Later

SAGES Faculty – Session Chair Design Form

Practice Gaps

Session Objectives

At the conclusion of this session, participants will be able to:

Session Outline

Reminders!

Guidelines

Learning Themes

State Specific CME Requirements

Target Audience / Difficulty Level

HANDS ON COURSE Chairs Only

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