Call for Presentations

The California Pharmacists Association invites you to submit your proposal(s) for presentation at its annual educational conference known as the West Coast Pharmacy Exchange – April 9-12, 2015 in Anaheim, CA

Thank you for taking the time to submit a 75 minute CE presentation proposal.  Please note that this online form contains three sections, and you must complete the entire form.

PROPOSAL SUBMISSION DATES AND DEADLINES:

Submissions are due to CPhA no later than 11:59pm on August 22, 2014. Proposals must be submitted online.

SELECTION PROCESS

QUESTIONS TO ASK YOURSELF PRIOR TO SUBMITTING A PROPOSAL

HELPFUL HINTS TO AVOID DENIAL OF PROPOSAL SUBMISSIONS

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Section I – Demographic Information 
* Are you a CPhA Member?
 
* This is my:
* This phone number is my

Section II – Program Information

Please plan for a 75 minute presentation.

* Program Type
 
* Program Level (see descriptions here)
* Program Format
 
* Program Activity Type
* Program Dates to be considered, please hold all of the following dates for presenting. (Decision expected by November.)
* Do you anticipate any SCHEDULING conflicts related to the program dates listed above (e.g. CPhA House of Delegates, exhibit hall, long distance travel, etc)? *If yes, please explain below.
 

Section III: Acknowledgements

Development of Program Content & Non-Commercialism

CPhA requires continuing education programs to be developed independent from commercial interests and that educational content by presented with full disclosure and equitable balance.  Please check each box below to acknowledge your agreement with each of the following:

  • All presentation content and materials will be carefully examined to ensure the presentation will not be misinterpreted as promoting or appearing to endorse a specific commercial drug, device, product and/or service.
  • Advertisements and/or promotional materials cannot be displayed or distributed in the educational space immediately before, during or after a continuing pharmacy education activity.
  • Representatives of commercial interests are prohibited from engaging in sales or promotional activities while in the space or place of continuing pharmacy education activity.
  • Educational materials, such as slides, abstracts and handouts, cannot contain any advertising, trade name or a product-group message.  This also pertains to company names, logos, etc. – please refrain from using them in slide content, in headers and/or footers and on handouts.
  • The content or format of a continuing pharmacy education activity or its related materials must promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.
  • Presentations must give a balanced view of the therapeutic options.  Use of generic names will contribute to this impartiality.  If program materials or content includes trade names, where available, trade names from several companies should be used and not just trade names from a single company.
  • Speaker(s) must disclose all relevant financial relationships with any commercial interest within the past 12 months.
* Do you have any real or perceived financial interests or conflicts related to this program/topic? If yes, please explain below.
 
* Deadlines
Please acknowledge your agreement to meet the following deadlines (if your program is selected)
   • Completed speaker forms (contract, W-9, A/V requests, etc): December 12, 2014 
   • Syllabus/handout materials in electronic form: February 20, 2015
* Speaker Honorarium
If your program is selected, CPhA will help support your attendance to Exchange in Anaheim by giving you a complimentary registration for the day of your presentation or 50% off your full conference registration.  If you require a honoraria and travel support, please indicate your requirements below (check all that apply):
 
* CPhA’s CE Bank *CPhA created an online “CE Bank” to facilitate the provision of live continuing education to pharmacy professionals throughout California. This online database allows speakers to add programs that they are interested in delivering, while also allowing pharmacy organizations to search the database for programs that they would like to host in their area. To view CPhA’s CE Bank, go to www.cpha.com  click on “CE/Events” in the top menu bar  click on “CE Bank for Locals” on the left side of the webpage. In the event that we are unable to invite you to speak at Exchange, would you be interested in having your program made available to local associations and other pharmacy organizations through CPhA’s CE Bank?
Supporting Documents

 
* Indicates Response Required