Education Workshop Proposal Form
PROPOSALS MUST BE SUBMITTEDELECTRONICALLY
All workshops are90 minutes in length. Presenters should leave time for questions and answers in each session.
RCPA members reflect a breadth of service lines: medical rehabilitation, brain injury services, behavioral health (drug and alcohol, mental health), vocational services, and intellectual/developmental disability services. Individuals served include the entire age spectrum from children to older adults.
RCPA is interested in workshops on the following topics. Please note this list is not all-inclusive.In planning the educational portion of the conference, RCPA seeks to provide executive leaders with cutting-edge information on the latest technologies to assist the provision of services and robust use of data to make decisions related to performance and outcomes. Technology vendors are encouraged to submit workshop proposals, but are reminded that the workshops MUST be educational in nature and cannot be perceived to be a product demonstration or sales presentation.
- Benchmarking
- Big Data
- Cognitive Rehabilitation
- Dashboard/Data Analytics
- eLearning
- Electronic Health Records (EHR)
- Health Information Exchange
- Human Resources Technologies
- Mobile technologies, including Smartphone Apps
- Rehabilitation Assistive Technology
- Remote Patient Monitoring
- Robotics
- Security Issues
- Smarthome
- Social Media
- Technology-based interventions, including online therapy and support
- Telepsychiatry/teletherapy
- Use of GPS
- Virtual Reality
The above topics are only suggestions. Please feel free to submit workshop proposals which you believe provide cutting-edge information in the technology field.
Presentation Title:
Program Content:
Intermediate Advanced
Proposal Description
Provide at least three measurable, learning objectives for this presentation.
Abstract: Description of your presentation in 100 words or less to be used in the conference program, if accepted. RCPA reserves the right to edit the submitted abstract for consistency of style.
Overview – 500 words or less.This description will assist the selection committee in understanding your proposed topic and must provide sufficient depth to support the educational objectives requested above. It should be clear and specific.
Learning Methods. Please select all of the learning methods that you will use in your presentation.
Facilitated Discussion
Didactic/Applied Lecture
Video/Multimedia
Experiential
Presenter Information: Provide name, degree, position, organization, address, telephone, and email for each presenter. Please note: all correspondence is sent to the primary presenter.
Primary Presenter:
Title:
Organization:
Street Address:
City, State, ZIP:
Phone:
Fax:
Email:
Second Presenter:
Title:
Organization:
Street Address:
City, State, ZIP:
Phone:
Fax:
Email:
Third Presenter:
Title:
Organization:
Street Address:
City, State, ZIP:
Phone:
Fax:
Email:
Describe the background, knowledge, and expertise of each presenter, including previous experience training/teaching on this topic. Do not insert vitae in response to this question. Credentialing bodies require a descriptive response about the presenter(s).In addition, attacha resume/vitae for each presenter.
Please indicate your audio-visual needs. Flip charts and markers are provided for every presentation. Other equipment as noted below may be requested and reserved.
Laptops for PowerPoint presentations must be provided by the presenter.
LCD Projector & Screen
Internet Connection
Sound (for multimedia presentations)
Screen (only)
Other (Please describe: )
Special Considerations/Remuneration Requested for Presenters. Presenters receive a $50 discount on conference registration OR may attend at no charge for the day of their presentation only. RCPA has very limited resources to provide additional remuneration. All requests are subject to approval by the committee and coordinator.
Statement of Vested Interest
Having an interest in an organization does not prevent a speaker from making a presentation, but the audience must be informed of this relationship prior to the start of the activity. Each presenter should read the following statement and mark the appropriate response. Vested interest statements are required by accrediting bodies.
I recognize that I must follow all guidelines and criteria regarding vested interest. Any real or perceived conflict of interest for a conference participant must be disclosed. For this purpose a real or apparent conflict of interest is defined as having a significant financial interest in a product to be discussed directly or indirectly during the presentation; being or having been an employee of a company with such financial interest; and/or having had substantial research support by an industry to study the product to be discussed at the presentation.
I have no real or perceived conflicts of interest that relate to this presentation.
I have the following real or perceived conflicts of interest that relate to this presentation:
All proposals must be received by 5:00 p.m. December 13, 2013 to be considered.All proposals must be submitted electronically toTina Miletic (). Individuals will be notified of proposal decisions.Submitting a proposal indicates that the presenter(s) understands that his/her proposal may be scheduled at any time during the conference and that he/she agrees to hold all dates and times available.