Topics You Would Like To Present

If you have a topic(s) you would like to present at the 2019 Midwest Osteopathic Annual Convention, please complete this section.  Also, please send your CV to Chris Bowles at chrisb@maops.org.

If you have speakers you want to recommend for the 2019 annual convention, please move to page 2 of the survey.

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* 1. Your Name

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* 2. Your Phone Number(s) Where We Can Reach You

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* 3. Your Email Address

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* 4. Please identify the first topic you would like to present, along with three to five goals and objectives that you would like the physician learner to gain from your presentation.

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* 5. What audience will most benefit from your presentation?

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* 6. What presentation style do you plan to use?  (Please note:  Research shows that more interactive presentations are better retained by the audience.  The Education & Convention Committee asks you to consider adding interactive components to your presentation.)

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* 7. Please identify the second topic you would like to present, along with three to five goals and objectives that you would like the physician learner to gain from your presentation.

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* 8. What audience will most benefit from this second topic you would like to present?  (Note:  If you have more than 2 topics you would like to present, please submit another form.)

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* 9. What presentation style do you plan to use for this second topic?  (Please note:  Research shows that more interactive presentations are better retained by the audience.  The Education & Convention Committee asks you to consider adding interactive components to your presentation.)

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