New Project Form Step 1 of 6 16% Background & PurposePlease answer the following questions to help describe this new project. Project's Working Title* Please enter the working title of the potential project.What is the problem, gap, or opportunity we are trying to address?*Please outline the NEED for this project. What is the goal/objective of the project?*Please describe what you would like to accomplish with the launching of this project. Project Description/Deliverables*Please enter a detailed description of the perceived project scope as you envision it. Business ModelPlease answer the following questions to help specify the content to be featured in this project. Target AudiencePlease be specific about who this project serves. Example questions to consider: Are they SAGES members? Are they trainees or in practice? How far along? Where are they (US, North America, International)? How will we communicate with them? What else do we need to know about them?Would you prefer to make this product available to* Anyone willing to purchase Free ONLY TO SAGES Members Free to SAGES Members but available for purchase for non-members Do you wish to offer CME?* Yes No Do you already have an estimated budget for this project.* Yes No Important: Your estimated budget may change after factoring in all of the data provided here. A formal bidding process may be required before we can arrive at an accurate budget. Estimated Budget* Do you foresee industry being interested in financially supporting this project?* Yes No Important: Please do not contact industry without approval and first speaking with Shelley Ginsberg, SAGES Development Director.Development Timeline*Please enter your ideal timeline in which you would like to launch this project. Important Please note, the initial timeline listed above may need to be adjusted after assessing the details and complexity of the project. Metrics for Success*What outcome or measure(s) will signal success of the project? Content AnalysisPlease answer the following questions to help specify the content to be featured in this project. Per your project description and deliverables, please indicate whether this project will be:* Completely Digitial/Virtual (i.e. On demand computer base modules, webinars, Video Atlas) Completly analog (Publications, Onsite Trainings) Hybrid Will this project be completely video based?* Yes No Will this video contain only captured and edited video If no, how much edited video do you foresee this project containing?*Will this project be heavily animated and require animated case and scenario presentation of content?* Yes No Will this project contain audio narration?* Yes No Please determine whether the identified content (video, animation, text, etc.) will also contain corresponding audio narration. Will this project require the creation of custom graphics/illustrations?* Yes No Please determine whether the identified content (video, animation, text, etc.) will also contain corresponding audio narration. Will this project require interaction from the learners?* Yes No Will the learner be able to click and navigate throughout the product components?Will there be an assessment portion to this project?* Yes No Will learners be asked to take summary quizzes at the end of each module or presented with any questions at any point while navigating the content.?How many contact hours do you envision this project containing?*Please enter a number from 1 to 100.How long do you think it should take a learner to progress from start to finish?Broken down by sub topic, how many modules/sections would you think this project will contain?*If possible, please provide a sample/preliminary outline. DistributionPlease answer the following questions to help specify how learners may obtain access this educational material. Given your preference, would you prefer that learners access this content* SAGES LMS (OWLS) SAGES Website (www.sages.org) Independant Website (new custom domain) Will learners need to be able to track their own progress?* Yes No Will administrators (us) need to be able to track user progress?* Yes No How would you propose users access this resource?*Additional Distribution Comments:Please provide any additional feedback that may come in handy. Project AdministrationIs this a committee or task force generated project* Yes No Which committee/task force?* Are there other SAGES committees, societies or external organizations that will/could be partners in this effort?Please do not contact or any outside organizations without approvalList everyone involved in the planning of the project.*You must list at least one person who will direct the design and development in conjunction with SAGES Staff and or selected vendor. Full NameEmailSAGES Member ? Any Additional Comments or Considerations CMEIs this topic non-clinical, such as leadership or communication skills training?* Yes No Content Preparation Instructions: As you prepare your project, 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.) Select the statement which is most applicable: CLC/IB*Please select one. I certify that the topic of this activity does not contain a direct patient care component. This activity will not contain a curriculum that includes the understanding of CLC and IB. This activity will contain curriculum that addresses CLC and/or IB. What are the learning objectives for this activity (Write your objectives focusing on what you believe the activity will change in the learners, using action verbs.)*What ABMS/ACGME/IPEC competency or competencies are related?* Patient Care (provide care that is compassionate, appropriate and effective treatment for health problems and to promote health). Medical Knowledge (demonstrate knowledge about established and evolving biomedical, clinical and cognate sciences and their application in patient care). Practice-based Learning and Improvement (investigate and evaluate patient care practices, appraise and assimilate scientific evidence and improve practice of medicine). Systems-based Practice (demonstrate awareness of and responsibility for larger context and systems of healthcare; call on system resources to provide optimal care, e.g., coordinating care across sites or serving as the primary case manager when care involves multiple specialties, professions, or sites). Professionalism (demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles and sensitivity to diverse patient populations). Interpersonal and Communication Skills (demonstrate skills that result in effective communication and teaming with patients, their families and professional associates, such as fostering a therapeutic relationship that is ethically sound; using effective listening skills with non-verbal and verbal communications; working as both a team member and at times as a leader). Provide patient-centered care (identify, respect, and care about patients’ differences, values, preferences and expressed needs; relieve pain and suffering; coordinate continuous care; listen to, clearly inform, communicate with, and educate patients; share decision making and management; and continuously advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health). Work in Interdisciplinary Teams (cooperate, collaborate, communicate, and integrate care in teams to ensure that care is continuous and reliable). Employ Evidence-based Practice (integrate best research with clinical expertise and patient values for optimum care; participant in learning and research activities to the extent feasible). Apply Quality Improvement (identify errors and hazards in care; understand and implement basic safety design principles; continually understand and measure quality of care in terms of structure, process and outcomes in relation to patient and community needs; design and test interventions to change processes and systems of care with the objective of improving quality). Utilize Informatics (communicate, manage knowledge, mitigate error, and support decision making using information technology). Utilize Effective Teaching Methods (communicate, demonstrate, coordinate and outline the skills and competencies related to effective teaching practices in the field of medical education, including teaching/learning strategies, methods and educational objectives) Values/Ethics for Interprofessional Practice (Work with individuals of other professions to maintain a climate of mutual respect and shared values). Roles/Responsibilities (Use the knowledge of one’s own role and those of other professions to appropriately assess and address the healthcare needs of the patients and populations served). Interprofessional Communication (Communicate with patients, families, communities, and other health professionals in a responsive and responsible manner that supports a team approach to the maintenance of health and the treatment of disease). Teams and Teamwork (Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles to plan and deliver patient-/population-centered care that is safe, timely, efficient, effective, and equitable). PhoneThis field is for validation purposes and should be left unchanged.