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.

Session Chair(Required)

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(Required)

(as provided in your invitation)

Session Description(Required)

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?(Required)

e.g. Live polling of the audience; Facebook Live integration, etc.

Yes

If yes, please describe your special technology needs.(Required)

Do you require a non-standard room/stage layout.(Required)

Standard layout is a podium, stage with panel table, fixed microphone, projection. Please keep in mind that special layout requests may not always be accommodated.

Yes

If yes, please describe your layout needs(Required)

Session Objectives

Select the number of session goals you will write:(Required)

Think about creating your session objectives based on what problems you are trying to fix, what is needed to fix the problem and why the problem exists. Access the SAGES Practice Gap Bank. If the site prompts you for a password, it is SAGESGAPBANK.

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(Required)

Session Objective 2(Required)

Session Objective 3(Required)

Session Objective 4(Required)

Session Objective 5(Required)

Session Outline

Outline

Please build your session here. Include any speaker/activity that will require time including introductions, breaks, time for audience response/discussions, etc.

Speaker Order	Title of Presentation or Activity	Presenter/Faculty Name	Time allotted in minutes	Actions

There are no Activities/Presentations.

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.
3. As you prepare your session, please proactively consider cultural and linguistic disparities that might impact patients relative to the topic; consider what implicit biases the care team may have that would influence diagnosis and treatment. Include strategies or best practices that can help mitigate disparities or bias in your session, as appropriate. (For more information, review the definitions of cultural and linguistic competency and implicit bias here; access articles, resources, and examples here; and review CA AB1195 and AB241.)

Learning Themes

Which of the following learning themes are applicable to your course/session/panel?(Required)

Target Audience / Difficulty Level

Please choose the most appropriate level for this course/panel(Required)

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

Don't Know

Describe Criteria(Required)

Comments

This field is for validation purposes and should be left unchanged.

SAGES Faculty – Session Chair Design Form

Session Objectives

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

Session Outline

Reminders!

Learning Themes

Target Audience / Difficulty Level

HANDS ON COURSE Chairs Only

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