Hospital & Physician Relations: An Executive Summit. Leveraging Technology. The Forum for Healthcare Strategists. Physician Strategies Summit.

Hospital and Physician Relations: An Executive Summit
October 26-28, 2008
Camelback Inn Resort & Spa - Scottsdale, AZ
Application to Present
Primary Contact Information
(All correspondence will be sent to the primary contact)
Name:
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Co-presenters (If applicable)
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Name:
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Presentation Information
Presentation Format: (Please check one)
  Strategy Session - a focused presentation on a cutting-edge strategy
  Case Study - a project report with detailed background information and measured results
  Panel Discussion - interactive discussion on a hot topic with 3-4 panelists
  Pre-Conference Workshop - half-day focused seminar for 40-70 attendees
 
Presentation Length: (Please check one)
  75 Minutes
  Half-day (2.5 hours)
 
Presentation Categories: (Please check the most applicable category)
  Collaboration/Competition
  New Partnership Models
  Strategic Issues
  Physician Relations
 
Session Information
Session Title:

 
50-75 word abstract of presentation:

 
3-5 learning objectives:

 
Description of your employer organization(s):

 
Biographical briefs (one) for all presenters:
 
Handouts
All presenters are required to provide electronic handouts. Handouts MUST be received by September 26, 2008 in order to be included on the flash drive that will be distributed to all attendees. Submission of handouts by this date is also necessary for CME review; sessions received after this date will not be considered eligible for CME credit.
 
Waived Conference Fee
Faculty will receive a waived conference fee for the regular conference. All other expenses are the responsibility of the individual.
 
IMPORTANT:
Have you given, or will you be giving, this presentation at another educational conference?
  Yes      No    If yes, where and when?
 
Affirmation of Commitment
(Electronic Signature of primary contact required)
If the proposal is accepted, I agree on behalf of myself and my co-presenters to meet all deadlines established by the conference sponsor, The Forum for Healthcare Strategists. I agree not to change content or presenters without the express written consent of the Forum. I understand that I am responsible for all costs of the presentation, including travel, hotel and per diem. I grant the Forum the right to audiotape/videotape and distribute the presentation and handouts, for profit or otherwise.
 
Please enter your name below to acknowledge your agreement with the above.
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If you have questions, please call 312-440-9080, ext. 24.