Toggle navigation
Protections & Reporting
Coverage Forms
Release of Information Requests
Coverage and Carrier Information
Liability Protections and FAQs
Incident Reporting Guide
UF Health Second Victims Programs
REPORT NOW
Underwriting Portal
Patient Safety
Patient Safety Awards
Strategies for Patient Safety
Florida Academic Healthcare PSO
Academic Medical Center PSO
Continuing Education
Lecture Requests
Lecture – Audience Appraisal Form
Case Studies
CE Course Store
Florida CE Requirements
CE FAQs
FL BOG Regulation 10.001
Publications
Quarterly Newsletter
Adjunct Articles
Staff Insights
Archived Works
About Your SIP
Message from the SIP Administrator
Our Mission
SIP Participants
SIP Participant Practice Site Maps
SIP Council Meetings
Florida Board of Governors
Meet the Team
Contact Us
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
First
Last
Phone Number (optional)
Email (optional)
Submit
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.
