CED Application Form | 2026

Clinical Event Debriefing (CED) Program

Thank you for your interest in the Clinical Event Debriefing (CED) Program, a QI project through the American Academy of Pediatrics (AAP). Please complete this application per departmental team to submit your interest to the AAP. An AAP Staff member will contact you regarding next steps.

ORGANIZATIONAL INFORMATION

Question Title

* 1. Please provide the following details regarding your organization/facility in which this program will take place:

Team Name/Department *

Name of Hospital/Practice (please avoid abbreviations) *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Question Title

* 2. If the billing address is different than the address provided in Question #1, please enter it below:

Name of Hospital/Practice (please avoid abbreviations)

Attn: Department

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Question Title

* 3. Practice Setting. Please check all that apply.

Private Outpatient Primary Care Clinic

Hospital-based Outpatient Primary Care Clinic

Inpatient- Acute Care/General Pediatrics/Hospitalist

Inpatient- Subspecialty Care

Inpatient- Emergency and ICU

Inpatient - Surgery, OR

Inpatient - Other

Other (please specify)