MedEdPORTAL Independent Session Log
Thank you for your support of MedEdPORTAL and for spreading the word on this unique publishing venue! In order to attempt to capture the good work that is being done at institutions around the globe, we have created this form for you to record the work you do to help elevate the educational scholarship of your students and colleagues. This survey is voluntary and the data collected will be used for internal operational purposes only.
You will be able to report one to five sessions in this survey.
*
Indicates a Required field
Please answer question *Full Name (first, last) before continuing.
Please answer question *Credential (i.e., MD, PhD) before continuing.
Your answer to question E-mail must be a valid email address.
Please answer question *Institutional Affiliation before continuing.
Please answer question *Role (i.e., student, faculty, librarian) before continuing.
Presenter Information
:
*
Full Name (first, last)
*
Credential (i.e., MD, PhD)
E-mail
*
Institutional Affiliation
*
Role (i.e., student, faculty, librarian)
Additional Presenter Information (If applicable, please indicate session 1-5):
Please answer question Type of Session 1 before continuing.
Please fill in the text box next to the selected choice in question Type of Session 1.
Session 1
*
Type of Session (please select one)
:
Workshop
One-on-One
Embedded Content (i.e., a few slides within a larger workshop)
Other
Please specify
Please answer question *Session Location (city, state, country) before continuing.
Please answer question *Date of Session before continuing.
Your answer to question *Date of Session must be a valid date.
Please answer question *Session Length (minutes) before continuing.
Session Details
:
*
Session Location (city, state, country)
*
Date of Session
*
Session Length (minutes)
Number of participants
Additional Details (i.e., session objectives, topics covered, activity used):
Please answer question Additional Sessions 1 before continuing.
*
Would you like to log another session?
Yes, I'd like to log another.
No, take me to the submit page.
Questions? Email mededportal@aamc.org
Contact Us
© 1995-
2010
AAMC
Terms and Conditions
Privacy Statement