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2027 CME Speaker Application

1.First Name, Last Name, Credentials
2.Are you a PAFP member?
3.Preferred Phone Number and Email
SOME TOPICS FOR CONSIDERATON
Below are some suggested areas of focus most requested by our members. All topics of course must be germane to primary care. You will be asked for a session title and learner objectives within this application.
  • Behavioral/Mental Health
  • Cardiology
  • Dermatology
  • Endocrinology
  • Gastroenterology
  • Geriatrics
  • Hospice/End of Life Care
  • Hospital Medicine
  • Infectious Disease
  • Lifestyle Medicine/Wellness and Wellbeing
  • Men's Health
  • Neurology
  • Oncology
  • Orthopedics/Procedures
  • Pediatrics
  • Practice Management, i.e. Billing, Coding, Contracts, Administrative Burden, etc.
  • Practice Models
  • Sleep Medicine
  • Sports Medicine/Musculoskeletal
  • Technology / AI in Medicine
  • Women’s Health
4.SPRING AND SUMMER CME
I am applying for the following conferences/events (please check all that apply)
5.Information on Fall, 2027 will be available soon.(Required.)
PRESENTATION TYPES
  • Didactic Presentation time needed including Q & A: 30 mins - 60 mins
  • Procedures Workshop Up to 2 hours maximum of hands-on procedures (Summer Conference Only)
  • Panel Discussion
  • Round Table Case Studies
  • Interactive Lecture
YOUR SPECIFIC SESSION (S)

Please use the space below to enter the information about the specific session(s) you would like to present at a PAFP CME Conference.

Include:
  • The topic, be as specific as possible - see above
  • Practice Gaps - What is the practice-based problem you are addressing?
  • Learner Objectives
  • Presentation type - see above
  • Complexity level
    Beginner is learning the fundamentals with some familiarity.
    Intermediate is applying new knowledge to build foundation of experience.
    Advanced is extensive competency of complex concepts.
6.Will you have a co-presenter?
7.If yes, please include their name and credentials and a contact email.
8.Session #1
9.Session #2 (if applicable)
10.Session #3 (if applicable)
SPEAKING EXPERIENCE

Please use the space below to enter the information about previous speaking experience, topics, audience.
11.Have you spoken at a previous PAFP CME Conference?
12.Please list three of your most recent speaking engagements not for PAFP
Note: If you have spoken at a PAFP Conference (see question above) in the last 5 years we will look up the information.
13.Please list two references in regards to your speaking experience.
14.UPLOAD EVALUATION SCORES
Please include your evaluation scores if available.
No file chosen
15.UPLOAD YOUR CV HERE
(Required.)
No file chosen
APPLICATION REVIEW PROCESS
Applications are reviewed as they are received from PAFP and can be submitted any time before the deadline. Applications submitted after the deadline may be accepted if there is an opening on the event agenda. Upon approval of your application, you will be notified confirming your participation and specifics.

Thank you for applying to present at a PAFP CME Conference.