Develop Your Own Course

Initial Educational Activity Proposal

Thank you for your interest in supporting the educational program of the International Parkinson and Movement Disorder Society. Please complete the form below to begin the course proposal process.

Contact Information
Name:

Institution:
Country:
E-mail:
Phone:
 
Basic Course Information
Course Title:
Objectives:
Target Audience:
Venue(s):
Proposed Date(s):
 For CME/CPD
 
Format
 Regional Course
 Webcast
 Print/Monograph
 Audio File
 Other
If Other, please specify:
Suggested Course Director(s) and Faculty
Course Director / Faculty Name:
Course Director / Faculty Name:
Course Director / Faculty Name:
Course Director / Faculty Name:
Course Director / Faculty Name:
 
Rationale for Course
Please state the rationale for this course and provide supporting documentation.
Case Vignette
Please provide a case vignette based on the content to be covered in this course.

 

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