2020 Learning Institute Call for Posters

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Presenters
Please select the number of presenters and complete all supporting information.
No. of Presenters*
Presenter 1
Primary Presenter: Name*
First Last
Primary Presenter: Title*
Primary Presenter: Organization*
Primary Presenter: Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Primary Presenter: Phone*
Primary Presenter: Email*
Primary Presenter Biography (max 100 words)*
Presenter 2
Presenter 2: Name*
First Last
Title*
Organization*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Presenter Biography (max 100 words)*
Presenter 3
Presenter 3: Name*
First Last
Title*
Organization*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Presenter Biography (max 100 words)*
Presenter 4
Presenter 4: Name*
First Last
Title*
Organization*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Presenter Biography (max 100 words)*

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Authors
Please choose the number of authors and complete all required supporting information.
Number of Authors*
Author 1
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 2
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 3
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 4
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 5
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 6
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 7
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 8
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 9
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 10
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 11
Name
First Last
Organization*
Title*
Phone*
Email*
Author 12
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 13
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 14
Name*
First Last
Organization*
Title*
Phone*
Email*
Author 15
Name*
First Last
Organization*
Title*
Phone*
Email*

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Presentation Questions
Please complete the additional questions and information about your presentation.
Poster Title*
Learning Stream(s)*
- Stream 1 – Communication in Serious Illness: An Innovative Approach to Clinical Care and Quality Improvements
- Stream 2 – Psychosocial Learning
- Stream 3 – ACP in Canada: New Tools in Community Care
- Stream 4 – Compassionate Leadership and Compassionate Communities – where do we go from here?
Please select the learning stream(s) most suitable for your abstract.
Provide a clear, concise description of your poster*
(250 words. Do not include title or author information).
Please provide an overall description of your poster presentation, to be listed in the conference syllabus. Do not include title or author information*
(50 words. Any description over 50 words will be edited for inclusion in the conference syllabus)
What skills and/or knowledge will your audience gain from your poster? Please explain how participants can apply the skills and or knowledge within their communities.*
(100 words.)
How will your poster add to existing evidence-based knowledge in the field of hospice palliative care?*
(100 words.)

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Acknowledgements
A confirmation page will appear once this application has been submitted. Additionally, an email acknowledgement will be sent to the primary contact’s email address. Please save the email message for your records. The CHPCA and their partners respect the privacy of personal information; as such, the information collected on this form will solely be used by the CHPCA for the purpose of evaluating proposals for the conference.
I acknowledge that if this abstract is accepted, it may used by the CHPCA to raise awareness of hospice palliative care issues and initiatives. Uses may include, but are not limited to, publications, on the website, and in the conference syllabus.*
- Yes
- No
I acknowledge that if this abstract is accepted, each presenter will be responsible for all expenses incurred, including travel expenses and registration fees. All presenters must register for the conference.*
- Yes
- No

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Presentation Type