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Lecture – Audience Appraisal Form
Please enable JavaScript in your browser to complete this form.
What organization are you with?
Florida Academic Healthcare Patient Safety Organization (FAH PSO)
Florida Atlantic University
Florida International University
Florida State University
University of Central Florida
University of Florida – Gainesville
University of Florida – Jacksonville
University of South Florida
If "Other":
Who were your speakers? (Please, select all that apply)
Arlene Smillov, BSN, MBA
Beth W. Munz, Esq., CPHRM
Brian Boelens, Esq.
Daniel J. D’Alesio Jr., Esq.
Francys C. Martin, Esq., LHRM
George L. Rodriguez
Cheri A. Stuart, RN, JD
Jennifer Miller-Louw, Esq., CPHRM
Kari A. Valentine, Esq.
Kathryn R. Mackey, Esq.
Randall C. Jenkins, Esq.
Other
If "Other":
When was your lecture?
What was the topic of the lecture?
Alternative Dispute Resolution
Apology and Disclosure
Defending Your License
Depositions
Disclosure of Unanticipated Outcomes
Documentation
End of Life Issues
Informed Consent
Liability and Medical Malpractice
Medical Error Prevention
Patient Safety Act
SIP 101: New Employee Orientation
Other
If "Other":
Comments/Feedback/Suggestions:
Can we contact you regarding your responses?
yes
no
If yes, please provide us with your name, email address, phone number and let us know your preferred method of contact.
Preferred contact method:
Phone
Email
Name
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Last
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This webpage, Lecture Requests, is managed by Stephanie C. Gann, B.S., Education/Training Specialist.
Please feel free to contact her for any questions or recommendations regarding page content.
