MEMBERS
  LOG IN
  HOME
 
ANNUAL MEETING
  SUBMIT SYMPOSIA AND ABSTRACT IDEAS
  FUTURE MEETINGS
  PAST MEETINGS
   
 
   
AOA Symposium Information Form
"Identify, develop, engage and recognize leadership to further the art and science of orthopaedics”
Symposium information submitted by October 1 will be considered for upcoming annual meeting and beyond.

You may submit two ways:
A general symposium topic only
OR
A specific symposium - including title, moderator and speakers

Only symposia topics by current AOA members will be considered.

Submitter Name:
City & State:

SYMPOSIUM TOPIC ONLY:

Symposia topic:

This topic is   Controversial   Broad in scope   Engaging   Timely

Relevance of topic:

Objective of symposium - what is the expected outcome/impact:
(position statement, consensus development, educational, etc.)

Will this material be presented or published on or before June 22, 2005?   Yes    No

If yes, please indicate where and when:

Why is it important that AOA, rather than another orthopaedic association, address this issue?

Suggested speakers: (optional, however recommended for discussion by the Critical Issues Committee)

SPECIFIC SYMPOSIUM – INCLUDING TITLE, MODERATOR & SPEAKER SUBMISSION:

To submit a specific symposium topic and title – please complete the following information. This form must be completed in its entirety to be included for consideration.

Moderator
AOA Member non-AOA Member
Name:
Institution Name:
Address:
City: State: ZIP/postal code:
Phone: Fax:
Email Address:
Qualifications:
Speaker 1
AOA Member non-AOA Member
Subtopic:
Name:
Institution Name:
Address:
City: State: ZIP/postal code:
Phone: Fax:
Email Address:
Qualifications:
Speaker 2
AOA Member non-AOA Member
Subtopic:
Name:
Institution Name:
Address:
City: State: ZIP/postal code:
Phone: Fax:
Email Address:
Qualifications:
Speaker 3
AOA Member non-AOA Member
Subtopic:
Name:
Institution Name:
Address:
City: State: ZIP/postal code:
Phone: Fax:
Email Address:
Qualifications: