HealthPartners Clinical Simulation
Home
Staff
Mission & Vision
HealthPartners Institute
Contact Us
Programs
Course Catalog
>
ACLS Skills
BLS Skills
Clinical Faculty Development Course
Managing Medical Emergencies in Dental Clinics
Nursing
>
Acute Care Nursing Orientation
Critical Care Orientation
First 5 Minutes--Insitu Mock Codes
Management of the Complex Critical Care Patient
Pediatric Emergency Management
Progressive Care Orientation
Recognizing & Responding to the Deteriorating Patient
Teams / Interdisciplinary Education
>
Mock Codes--Simulation Center
Program Feedback
Resources
Location
Clinical Simulation & Learning Center
In-situ & Mobile Programs
Map & Directions
Equipment
Mannequins
Task Trainers
Simulation Requests
HealthPartners Simulation Activity Request
HealthPartners Equipment Loan Request
Other Simulation Activity Requests
HealthPartners Simulation 2019
Proposal Submission Form
Due May 13, 2019 by 2359
Proposal submitter will receive a registration link for one free admission upon proposal acceptance.
*
Indicates required field
Name
*
First
Last
Credentials
*
Email
*
Phone Number
*
Organization
*
Position/Role
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
I am submitting for a:
*
45 Minute Podium Presentation
90 Minute Hands-on Skills Session/Workshop
Content designed for the following simulation experience level:
*
Beginner
Intermediate
Advanced
Any
Session Title
*
Detailed Description--Session Details (for proposal review team) - 500 word max
*
Describe your session, purpose, intended audience in 350 words or less.
Objective 1
*
Please include at least 2 (maximum of 3) objectives for your session to complete the following sentence. "At the end of this session, the participant will...."
Objective 2
*
Objective 3
*
Brief Description--Session Overview (for posting in online brochure) - 75 word max
*
Primary Presenter Name
*
First
Last
[object Object]
Co-presenter Name
*
First
Last
Please list the name of any co-presenters.
Co-presenter Credentials
*
Co-presenter Name
*
First
Last
[object Object]
Co-presenter Credentials
*
Outline
*
Include an outline of the session. For example: I. Topic 1 A. Subtopic B. Subtopic II. Topic 2 A. Subtopic B. Subtopic
Presenters/Authors Bio:
*
Briefly describe your relevant education and or professional experience or upload document below.
Upload Presenter Bio
*
Max file size: 20MB
Co-Presenter Bio
*
Max file size: 20MB
Co-Presenter Bio
*
Max file size: 20MB
Notification of acceptance will be emailed by June 10, 2019. Presenters will submit an electronic copy of handouts/slides by September 13, 2019.
Submit