ACGME Assessment Hub Workshop - Registration Request

Thank you for expressing your interest to participate in the upcoming ACGME Assessment Hub Workshop on December 6-8, 2023 at Cleveland Clinic Abu Dhabi.

The registration fee for this activity is $500. Please complete this form. After submission, a member of the CCAD Medical Education and Professional Development (MEPD) Team will contact you and advise on the next steps.

Seats are limited.

Full Name *

Organization Name *

Position *

Country *

City *

Email Address *

Contact Number *

What would you like to learn more about in this course? (Select all that applies) *

Best practices: Feedback to improve learner performance

Clinical Competence Committee (CCC)

Competency-based frameworks in assessment

Direct observation and techniques

Individualized learning plan

Peer-to-peer consultation

Remediation

Others, please specify Others, please specify

Would you like to register a group of 4 or more participants? *

Yes

No

How many participants are in your group? Please indicate the number and a member of the CCAD MEPD Team will get back to you. *

Applicant's Signature *

clear

Today's Date * +