Session Contact InformationMain Contact Name(Required) First Last Degrees (MD, PhD, DO, etc) Main Contact Email(Required) There are two types of sessions. Please review the following and make the appropriate selection below. Panels – Panels are intended to be 60-75 minutes in length during the Annual Meeting. All panel sessions are held in the General Session and can be scheduled on any day of the program. Submissions are only accepted from ASE Committees, Task Forces, or Working Groups. Workshops – These sessions are intended to be instructional and should be active learning sessions with an emphasis on providing participants with materials and/or skills they can apply at their institution. Proposals that have been submitted for prior meetings will be accepted, but submissions are encouraged for new and innovative topics. Submissions are only accepted from ASE Committees, Task Forces, Working Groups, or ASE Members. Session Type(Required) Panel Workshop Is this submission from an ASE Committee, Task Force, or Working Group?(Required) Yes No Which Committee(s)/Task Force(s)/Working Group(s)?(Required) AI Assessment, Curriculum, and Evaluation Awards Citizenship and Global Responsibility Clerkship Directors Communications Coordinators of Surgical Education CoSEF Development Diversity, Equity and Inclusion (DEI) Executive Faculty Development Finance Graduate Surgical Education GSE-JASE Editorial Board Guidelines Industry Council Innovations International Med Student Assessment Membership Needs Assessment Nominating Program SELF SERF Simulation Surgical Education Research Trainee Vice Chairs of Education (VCE) Are you a member of ASE?(Required) Yes No Thank you for your interest in submitting a proposal for a Workshop at the Annual Meeting but submissions are only accepted from ASE Committees, Task Forces, Working Groups, or Members.Thank you for your interest in submitting a proposal for a Panel at the Annual Meeting. Submissions are only accepted from ASE Committees, Task Forces, or Working Groups.Session InformationSession Title(Required)No reference to the authors or any institution should appear in the session title. Session Description(Required)The description should include an overview of the topics to be presented related to the title and target audience. The description should explain the tools, skills, or information participants will be able to take back to their institution. If this submission is accepted, the description will be included in the meeting app and used for marketing purposes. (500 word limit)Workshop Length(Required)Please select whether or not you would like to present a 90-minute or 45-minute workshop. 90-minute workshop 45-minute workshop If a similar workshop is submitted, would you be willing to combine workshops into session?(Required) Yes No Session Objectives Write at least three objectives focusing on what the learner will do as a result of this activity. Use action words like: Adjust Apply Appraise Arrange Articulate Assess Categorize Choose Classify Compare Conduct Construct Convey Create Demonstrate Develop Diagnose Diagram Differentiate Discriminate Distinguish Employ Evaluate Formulate Hypothesize Identify Illustrate Implement Infer Integrate Interpret Manage Organize Plan Predict Prepare Prioritize Produce Recognize Recommend Relate Select Solve Use Session Objective 1(Required) Session Objective 2(Required) Session Objective 3(Required) Session Objective 4 Session Objective 5 Session OutlinePlease use the Add Activity button to add a speaker, break, etc to the session outline. Activity Order Title of Presentation or Activity Presenter/Faculty Name Presenter/Faculty Email (if known) Time allotted in minutes for activity Actions Edit Delete There are no Activities. Add Activity Maximum number of activities reached. Disclosures Be advised all speakers listed above will have to submit financial disclosures in advance of the meeting. Any potential conflicts of interest will be reviewed by the Program Chair and if the conflict cannot be resolved, a replacement speaker will need to be assigned. Invited Faculty The ASE does not offer faculty travel reimbursement or complimentary registration for panelists. It is recommended to have additional recommendations for presenters/faculty in the event your first choice is unavailable to participate. Audio Visual Please note: panels are held in the main General Session room with screens, projector, mic, and podium. All presentations must be uploaded in advance of the meeting or onsite in the Speaker Ready Room.Audio Visual Workshops are set with only screen, projector, podium, and mic. Laptops are not provided and are the responsibility of the workshop presenters. Workshop presentations do not need to be uploaded in advance and will not be loaded by the ASE AV team. All presentations should be loaded on one laptop and brought by the workshop organizers or presenters. Room Set Workshops will be set up with theater-style seating (rows of chairs). If this workshop is accepted, please include any special room setup that should be taken into consideration: