Simulation in Healthcare: Where No One Has Gone Before - March 25-26, 2010 Ft. Lauderdale, Florida Answers marked with a * are required.
	1. Simulation in Healthcare: 2010 Abstract Submissions
	Deadline for oral abstract submission is December 1, 2009 Abstract Submission Instructions: Please complete all fields below.
	1*. Primary Presenter Contact Information: Name and Credentials Job Title Organization Address City, State, Zipcode Phone Fax Email
	2*. Conference Themes: Please select which conference theme best fits your abstract Simulation using Standardized Patients Simulation using the Human Patient Simulator Hybrid Simulation Simulation using Task Trainers Simulation Lab Design Simulation Lab Management Simulation Psychometrics and Quality Assurance
	3*. If accepted as a poster presentation instead of an oral presentation, are you willing to present a poster? Yes No
	4*. Title of Abstract:
	5*. Abstract: Should be substantive, 200-250 words and address the content to be covered in all of the listed objectives
	6*. Blinded Abstract: should be a copy of abstract submitted in previous question with out any identifying factors i.e. university or hospital name.
	7*. Objectives: List 2-3 cognitive behavioral objectives for the session. These objectives must be written in measurable terms
	8*. Primary Presenter Brief Bio (100-150 words)
	9. Co-Presenter Contact Information: Name and Credentials Job Title Organization Address City, State, Zipcode Phone Fax Email
	10. Co-Presenter Brief Bio (100-150 words)
	11. Third Co-Presenter Contact Information: Name and Credentials Job Title Organization Address City, State, Zipcode Phone Fax Email
	12. Third Co-Presenter Brief Bio (100-150 words)