Sample Program Description Form (Sample II) This form provides an alternate format for program description. It may be completed, adapted, or used as a guide. Information may be but must be legible. You may use this page OR page 13 outline you do not need to use both. – – PROGRAM TITLE: III. Time I. Objectives II. Related Content/Topics Frame IV. Teaching Method(s) V. Presenter(s) VI. Pharmacology Summarize major content or List each educational objective topic related to each Identify time Check below to for the program. objective. allotted for List (or circle) teaching List presenter/ indicate areas Each session must have Any pharmacology credit each objective methods planned for speaker for each included in request individual objectives (not must be supported by this or cluster of each objective or cluster objective or cluster for pharmacology overall program objectives). section. content. of content. of content. credit. Lecture Discussion Question/answer Demonstration/return demo Other: Lecture Discussion Question/answer Demonstration/return demo Other: Lecture Discussion Question/answer Demonstration/return demo Other:
Sample Program Description Form (Sample II) This form provides an alternate format for program description. It may be completed, adapted, or used as a guide. Information may be but must be legible. You may use this page OR page 13 – outline – you do not need to use both. PROGRAM TITLE: I. Objectives II. Related Content/Topics III. Time Frame IV. Teaching Method(s) V. Presenter(s) VI. Pharmacology List each educational objective for the program. Each session must have individual objectives (not overall program objectives). Summarize major content or topic related to each objective. Any pharmacology credit must be supported by this section. Identify time allotted for each objective or cluster of content. List (or circle) teaching methods planned for each objective or cluster of content. List presenter/ speaker for each objective or cluster of content. Check below to indicate areas included in request for pharmacology credit. Lecture Discussion Question/answer Demonstration/return demo Other: Lecture Discussion Question/answer Demonstration/return demo Other: Lecture Discussion Question/answer Demonstration/return demo Other: