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* 1. Contact Information

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* 2. Are you an ACH member? (active 2022-2023 ACH membership required for selection).

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* 3. Have you attended a Coffee Conversations previously?

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* 4. Which date(s) are you available to serve as the featured guest? Coffee Conversations will be held on the following dates at 11:00 am ET.

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* 5. Please insert a proposed session title.

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* 6. Please list three learning goal statements. 

For example:
  • Define a virtual relational meeting
  • Discover how virtual relational meetings can enhance teamwork
  • Learn useful practices for participants and facilitators to promote trust and relational communication in a virtual format

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* 7. Describe what the session would entail (100 words or less):

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* 8. Brief Bio (100 words or less)

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* 9. Headshot photo

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ACH Commitment to Diversity, Equity and Inclusion: 

ACH is a leader in relationship centered communication education. You can expect to be treated with respect and compassion at all times, and our expectation is that your presentation will also be respectful, inclusive and equitable. Having an awareness of how instructional practices can reinforce structural inequity is vital to your success as a speaker (Dowd and Bensimon 2015). Here are some guidelines that are meant to help you be successful and reinforce principles of equity and inclusion in your interactions with ACH event participants.

Please review the following acknowledgments: 

  • ACH members, participants, staff and guests have training in a variety of fields: patient advocacy, nursing, midwifery, medicine, physical therapy, psychology, social work, administration, and others. Please keep this in mind. The term health care professionals is preferred.
  • ACH members, participants and staff represent many different racial, ethnic, cultural, regional, religious, gender, sexual orientation identities and intersections. Respectful and appreciative teaching includes thinking critically about how evidence, interventions and even communication style will meet the needs of different groups, especially marginalized groups. Case presentations should not include racial identity as an identifier, but it can be included in the social history. Patient identifies as _______."
  • Beware of negative stereotypes and the impact they can have on listeners. A best practice is the intentional citing of women and people of color as exemplars of relationship centered health professions research, practice, and policy.
  • Be honest about your limitations, and practice cultural humility "As a male physician and a cardiologist, I'm less familiar with training guidelines for women's primary care and I needed help in preparing this talk from my colleagues more familiar with reproductive health equity."

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* 10. Acknowledgement

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