Council on Medical Student Education in Pediatrics

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Council on Medical Student Education in Pediatrics (COMSEP)

COMSEP 2018 Annual Meeting
April 11-14, 2018
Grand Hyatt
Denver, CO
Annual Meeting Registration Form







Registration and Meeting Details

Please read and provide all information requested:

Please select a registration type
I would like to join COMSEP and receive the discounted rate for meeting registration.

Non-Member Rates
$875 - Faculty/Administrator
$450 - Trainee
 
First Name:
Last Name:
Highest Degree:
Title: Clerkship Director
Associate Clerkship Director
Clerkship Coordinator
Other (please specify below):

Representing (Institution):
First Name/Nickname to Appear on Badge:
Address:
City:
State/Province:
Country:
Zip/Postal Code:
E-mail:
Telephone:
Emergency Contact Name:
Emergency Contact Phone:
Specialty/Profession:

Is this your first time attending the annual meeting: Yes     No

Pre-Conference Workshops


Please indicate if you will attend one of the pre-conference workshops on Wednesday, April 11, 2018.

This year, we are pleased to offer
Two Workshops from 9:00AM - 5:00PM (additional fee of $150.00, lunch included);
Five Workshops from 1:00PM - 5:00PM (additional fee of $100; $75 for the Clerkship Administrator Workshop)

See workshop descriptions for more information.

Wednesday, April 11, 2018 from 9:00AM - 5:00PM
 View: PEDS LEADS: Setting yourself up for leadership success
 View: THE ABCS OF MEDICAL STUDENT EDUCATION (NEW CLERKSHIP DIRECTORS WORKSHOP): FUNDAMENTALS FOR PEDIATRIC EDUCATORS (NEW AND OLD)
N/A- Workshop Presenter  Name:
Not Attending
 
Wednesday, April 11, 2018 from 1:00PM - 5:00PM
 View: LIGHTS, CAMERA, ACTION! DIRECTING A BLOCKBUSTER WORKSHOP
 View: Clerkship Adminsitrators Certification Workshop
 View: Storytelling in Medical Education
 View: Likert or Like It: An Introduction to Effective Survey Design
 View: So You've Hit Rock(y) Bottom: Using Rejection to Enhance Scholarship Dissemination
N/A- Workshop Presenter  Name:
Not Attending

Thursday, April 12, 2018, 10:00AM - 12:00PM


 View: Click Bait: Medical Student Documentation in the Electronic Health Record  
 View: Integrating Emotional Intelligence in the Clerkship  
 View: Crossing Boundaries: Flipping the Classroom in the Clerkship Year  
 View: Calling all Clerkship Administrators: Enhance your Clerkship with PediaLink!  
 View: Telling the story of mistreatment: changing the culture of the learning environment  
 View: Educational Quality Improvement: moving beyond great ideas to thoughtful action  
 View: Every Mountain Climb Needs a Sherpa: Engaging Patient and Family Advisors in Medical Education  
 View: Talking the Talk: Using podcasting to deliver educational curricula  
 View: Innovation to Publication in Five Simple Steps  
N/A- Workshop Presenter  Name:
Not Attending

Friday, April 13, 2018, 2:00PM - 4:00PM


 View: Are You Ready for Your Role as a Career Advisor?  
 View: Scripting Success: Using a Point-of-Care App at the Bedside to Enhance Students Clinical Reasoning Skills  
 View: SCHEDULING FOURTH-YEAR MEDICAL STUDENTS USING A COMMUNITY SPIRIT  
 View: From the brink of burnout to resiliency: transforming your experience as a pediatric medical educator in times of adversity  
 View: Moving Beyond Satisfaction: Developing Meaningful Outcomes  
 View: Workshop Full Implementing the Core EPAs in the Pediatrics Clerkship: Challenges, Opportunities and Lessons Learned from the Core EPA pilot schools  
 View: Will they be ready? Designing effective and engaging Pediatric Residency Preparatory Courses (Boot Camps) for fourth year students  
 View: Workshop Full Clerkship Administrators: Telling your story to expand your professional opportunities. Recognizing the steps needed for improved proficiency and career enhancement/promotion  
 View: Reflective Writing in Clerkships: Viewing Patients through a Basic Science Lens using the Kolb Learning Cycle  
N/A- Workshop Presenter  Name:
Not Attending

Saturday, April 14, 2018, 10:00AM - 12:00PM


 View: LCME Informational Workshop for Clerkship Administrators  
 View: The Joy of Using Reflections in Health Science Education  
 View: "Let's Get Physical!" Effective and efficient methods for teaching physical examination at the bedside  
 View: Clinical Reasoning Assessment: A workshop for developing Script Concordance assessment items.  
 View: Students, Residents, and Fellows? Oh, My! How to ENGAGE Multi-Levels Learner Groups.  
 View: See One, Do One, Lead One. Teaching Leadership Skills to Medical Students  
 View: Transform and roll out! Strategies for schools undergoing curriculum redesign  
 View: Workshop Full Bridging the Generation Gap in Healthcare Education: Understanding the Millennial Learner  
 View: Creating the Deans Narrative: The 'Write' Way  
N/A- Workshop Presenter  Name:
Not Attending

Saturday Lunch:

Will you be attending the lunch on Saturday, April 14, 2018?: Yes     No

PUPDOC (Canadian Members):

Please indicate if you will attend PUPDOC meeting on Saturday, April 14th, 2018 from 1:30PM-5:00PM
(Additional fee of $50.00)
: Yes     No

 

Continuing Medical Education Credits:

Please indicate if you wish to obtain CME credit for this meeting: (Additional fee of $35.00) Yes     No

Special Events

Dinner/Dancing:

Please indicate if you plan to attend the dinner on Friday, April 13, 2018 from 6:00PM - 10:00PM Yes     No
Will you be bringing a guest? (Additional fee of $85.00 for a guest)
Yes     No

Guest Name:

Dietary Needs

Please indicate any special accommodations or dietary needs you may have:

Please indicate any special accommodations or dietary needs your guest may have:


 

Miller - Sarkin Fun Run/Walk:


(T-shirts will be for sale on-site)

Please indicate if you are planning to participate in the Fun Walk on Thursday, April 12, 2018 from 3:00PM-4:30PM

Yes     No

Please indicate if you would like to pre-order a t-shirt? (Additional fee of $20.00)

Yes     No

Please indicate your t-shirt size.

S     M     L     XL    
 

To cancel your registration and receive a refund, a written request must be received in the COMSEP office by March 15, 2018. Cancellation requests received by this date will receive a refund less a $50.00 processing fee. Requests will be processed after the meeting. All requests received on or after March 16 will forfeit 100% of monies paid.

Hotel Information:
Link: https://aws.passkey.com/go/COMSEP18
Or call: 1 303 295 1234 and mention the COMSEP Annual Meeting

Please make your hotel reservations
by March 15, 2018.

Group rate: $199/plus tax

This form does not register you for your hotel

 



PRE-MEETING REGISTRATION DEADLINE - Tuesday, April 9, 2018

Method of payment



Credit card online

Print form and mail check
Total Amount:  U.S.$