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*
Make this title as interesting as possible to grab the attendees' attention:
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. Audience Response/Polling
- 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.
1. What is the problem 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
2. What is the problem 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 (performance)
3. What is the problem 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 (performance)
What data supports the identified problem? At least 1 data source is required.*
- SAGES Gap Bank
- Clinical practice guidelines
- Health Performance Data
- AHRQ/Government/Snapshots
- Research/Peer-reviewed literature
- Exam performance analysis
- Epidemiology data
- Government mandates/legislation
- Public Health Data
- Survey of Targeted Learners
- Expert opinion (committee, consensus of experts)
- Requirements of State licensing board, Specialty Societies
- New medical development/technology
- Evaluation data/gaps identified by target audience (previous CME eval)
Describe data sources here:*
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

Create the outline of your session below:*

Use the + icon on the right side of the row to add another line to your session outline. Add as many lines as you require. If you plan on giving an introduction, please add that to the outline. If you want to incorporate breaks, discussion, Q&A, or Audience Response, please add that to the outline. Please make the total time allotted below match the time given for your session.

Speaker Order	Title of Presentation	Faculty/Presenter Name	Email	Time Alloted (in minutes)

Reminders!
1. Do not invite or notify your desired faculty yet, they must first be approved by the Program Chairs.
2. You may be required to peer review your faculty presentation(s) in advance of the meeting if it was determine based on their disclosures that they may have conflict of interest presenting the topic.
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
- 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 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 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
- 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
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*
Questions for Participants (MOC)
In order to provide attendees with MOC credit, all Session, Panel & PG Chairs must write 2 questions. Faculty for your course will be provided your questions so they can incorporate the content into their lecture. The SAGES Continuing Education Committee will review questions and group all questions into Learning Themes. Participants will answer 4 questions total per Learning Theme.
Please reference this Sample SAGES Session Design Form for appropriate question formatting. Questions must be case-based.
Question 1*
Answer A*
Explanation A*
Solution
- This is the correct answer
Answer B*
Explanation B*
Solution
- This is the correct answer
Answer C*
Explanation C*
Solution
- This is the correct answer
Answer D*
Explanation D*
Solution
- This is the correct answer
References for Question 1*
Question 2*
Answer A*
Explanation A*
Solution
- This is the correct answer
Answer B*
Explanation B*
Solution
- This is the correct answer
Answer C*
Explanation C*
Solution
- This is the correct answer
Answer D*
Explanation D*
Solution
- This is the correct answer
References for Question 2*
Email
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

Target Audience / Difficulty Level

HANDS ON COURSE Chairs Only

Questions for Participants (MOC)

Newsletter Subscriptions

Important Links

Contact SAGES

Words to Live By