ACGME Assessment Hub Workshop - Registration Request

Thank you for expressing your interest to participate in the upcoming Cleveland Clinic Abu Dhabi ACGME Assessment Hub Workshop that will be held in Abu Dhabi, United Arab Emirates.

Seats are limited. The registration fee for this activity is $300. 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.

Workshop Date *

Full Name *

Position *

Organization Name *

City *

Country *

Email Address *

Contact Number (include Country code and Area code) *

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 * +