PRESENTATION PROPOSAL SUBMISSION

Updates in Correctional Health Care
May 21-24, 2011  ·  Phoenix, Arizona

· Proposals must be submitted by September 10, 2010.
· Contact information is required for each presenter.
· All fields must be completed.

Page 1 of 2: Presenter and Presentation Information

Speaker Information

Lead Presenter
Name
Educational degrees (3 max)
Are you a... CCHPCCHP-A CCHP-RN
Title
Affiliation/Workplace
Mailing address
City
State          Zip  
Is address for business or home? Work    Home
Work phone
Fax
E-mail

Qualification to Present:
Briefly describe your qualification to present the material in your proposal. (75 words max)

 

CV/Resume:
Copy your 1-page CV or resume into the box below, or e-mail it to deborahross@ncchc.org.

 

Copresenters (if any)
If there are more than 2 copresenters, e-mail additional information to deborahross@ncchc.org.
 

Copresenter #1

Name

Degree

Affiliation/Workplace

Work phone

E-mail

CV/Resume:
Copy 1-page CV or resume into the box below, or e-mail it to deborahross@ncchc.org.

 

Copresenter #2

Name

Degree

Affiliation/Workplace

Work phone

E-mail

CV/Resume:
Copy 1-page CV or resume into the box below, or e-mail it to deborahross@ncchc.org.

 

Presentation Information


Title: Clearly and concisely indicate the presentation subject and focus. (100 characters max)

 


Summary: Succinctly describe the presentation for the conference final program. (75 words max)

 


Abstract: Summarize the purpose, methods, findings and conclusions of your presentation and explain what attendees may expect to gain from it. (approximately 300 words)

 

 

Learning Objectives: Provide three learning objectives for the presentation. List each objective in learner-oriented, measurable terms that consist of one action or outcome. For more information, refer to our Tips for Writing Learning Objectives. Content Outline: List each topic to be covered and provide a description of the proposed content (three or four examples) in sufficient detail to determine consistency with objectives. It must be more than a restatement of the objective. For more information, refer to our Tips for Writing Content Outlines.
 
 
 

Skill Level: The skill level needed to understand this presentation is... (check one)

Basic (no prior knowledge of topic necessary)

Intermediate (some prior knowledge necessary)

Advanced (extensive prior knowledge necessary)


Intended Audience:

The intended audience for this presentation is... (check all that apply)

Administrator

Attorney

Dentist

Nurse

Nurse practitioner

Pharmacist

Physician

Physician assistant

Psychiatrist

Psychologist

Social worker

Other   

All of the above

This proposal addresses which of the following settings? (check all that apply)

Prison

Jail

Juvenile

Other   

Topic: Of the following, which best describes the presentation content?

Legal issues (e.g., national guidelines, charting and documentation, laws and regulations)

Management (e.g., contract compliance, budgets and cost containment, staff management, report writing)

Medical issues (e.g., infectious disease, chronic disease, prevention, special populations)

Mental health care (e.g., diagnosis, treatment, long-term management, segregation)

Nursing issues (e.g., clinical skill improvement, administrative skills, recruitment and retention)

Oral health care (e.g., screening, diagnosis, treatment, for nondental professionals)

Pharmaceuticals (e.g., use of narcotics, medication management, psychotropics)

Professional issues (e.g., conflict resolution, professional roles, patient relationship, leadership)

Public health partnerships (e.g., emergency response, continuity of care, reentry, community linkages)

Quality Improvement (e.g., measuring and documenting outcomes, practical applications of data)

Other  

Additional Presentation Information

How much time will this presentation require? (for poster, write in "poster" below)

60 minutes

120 minutes

Other  

Is this presentation being coordinated or supported by a vendor of products or services?

Yes: Company name  

No

Have you presented this topic elsewhere?

Yes (please describe)   

No

Would you be interested in developing your presentation into an article for the Journal of Correctional Health Care?

Yes

No

Maybe

For the benefit of those unable to attend your presentation and those unable to attend this conference, do you grant permission for this presentation to be audiorecorded and distributed?

Yes

No