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ASCCP HPV Educator Lecture Request Form

Educate the Educators’ Participants • Provider Education


In 2006, ASCCP developed the Educate the Educators' Program, a series of training courses and home study assessment programs designed to train ASCCP members and other providers to become local community experts and ‘second generation trainers’ for Local Education Programs (LEP).  The 2- to 4-hour training courses were held at national and international locations and webinairs throughout 2006. Participants undergoing training received Speaker Lecture kits prepared by the ASCCP.   Each Speaker Lecture kit consists of PowerPoint presentations suitable for both CME and non-CME lecture formats, reprints of important published articles pertaining to HPV and HPV vaccines, and more. To continue to assist those who elect to provide outreach to colleagues, ASCCP maintains a Speakers Support Center, providing access to additional teaching resources and updates to the slide sets.

To request an ASCCP-trained Educator to present the HPV and the New HPV Vaccines medical education lectures at your event, including clinical conferences, medical association and state society meetings, or grand rounds sessions, please complete and submit the form below. Arrangements as to speaker honoraria and travel expenses are left between you and/or the host organization and the invited speaker.  

ASCCP will provide you with a list of available trained speakers in your area within one week of your request.   Please note ASCCP will not provide CME for any local conferences and securing either the CME or funding for a given function is left up to the host organization.

Name of organizer:
Institution:
Address:
City
State
Zip
Telephone:
Fax:
Email:
Scheduled date of the speaking event:
Majority of meeting attendees to be:
Anticipated number of attendees:
Other comments or suggestions: 




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