Thank you for your interest in presenting your work! Please fill out this form completely and submit it by April 19, 2024. If you have any questions, please contact Kelly Anastasio at kanasta2@bidmc.harvard.edu. Question Title * 1. Please tell us about yourself: Name: * Professional degree(s): * Department: * Division (if applicable): * Email Address: Cell Phone Number: Question Title * 2. Role: Student Intern/Resident Fellow Attending/Faculty Postdoctoral Fellow Allied Health Professional (e.g., Social Work, RRT, PHA) RN/NP/DNP Other Allied Health Professional or Other - please specify here: Question Title * 3. Please list your co-authors here, if applicable Question Title * 4. What is the category of your poster? (check all that apply) Clinical Education (includes bedside teaching, teaching during rounds, precepting, etc.). Classroom Education (includes lectures, small group discussion learning, etc.). Assessment Procedural learning Leadership/Education Policy Diversity, Equity and Inclusion Simulation Other - please specify: Question Title * 5. Title of Project Question Title * 6. Abstract (250-300 words) Question Title * 7. Can you or one of your colleagues commit to attending the June 3, 2024 poster session from 4-5:30pm? Yes No Question Title * 8. If you are submitting a simulation poster, and are able to attend the annual BILH Simulation Symposium on Friday, June 7th from 8-12:30pm, please confirm your able to attend. Please watch your email as more details will follow about the program agenda. Yes No Next