SEA WORKSHOP SUBMISSION FORM

INTRODUCTION
SEA members are invited to submit workshops for the 2019 Spring Meeting to be held April 26-28, 2019 at the
Hilton Denver City Center in Denver, Colorado. In developing workshop proposals, SEA members must review
the overall theme and educational goals of the meeting for which they are submitting their workshop. The theme
for the 2019 Spring Meeting is Integration and Diversity: Creating Diverse Teams, Building Exceptional
Leaders. Workshops with a theme related to the overall meeting theme are more likely to be accepted;
however, workshops of any educational topics will be considered.

WORKSHOP SUBMISSION PROCESS

All workshop submissions must be completed in full and uploaded to the SEA website or sent to Monique
Gamache at monique@SEAhq.org. All workshop submissions must be received by the deadline: February
8, 2019. Workshops submitted after the deadline or via any other method will not be considered.

Workshop submissions will be reviewed by the meeting chair(s) and members of the SEA Committee on
Educational Meetings. It is anticipated that workshop leaders will be notified that their workshop has been
accepted for the week of February 25, 2019.

Workshop submissions sent back to presenters for revision must resubmit with the revisions included by March
11, 2019.

GENERAL INSTRUCTIONS FOR WORKSHOP SUBMISSION

DURATION: 90 minutes. No additional time will be provided; subsequent sessions will start immediately after
the workshop allotted time as designated in the program.

MAXIMUM ATTENDANCE: Limited to 30 participants.

TEACHING AIDS: A flip chart and markers will be provided, though SEA does NOT guarantee audiovisual
equipment for workshops. Facilitators may bring their own laptop computers or other equipment. Internet access
is available at our meetings. (Please ask if you have any questions or specific needs to enhance your workshop
– simulation for example).

ROOM SETUP: Workshop rooms will be set with four rounds of 8-10 with a head table. We cannot make any
special accommodations. If your workshop requires audiovisual, there is a possibility you will be assigned the
general session room. The layout of the general session room varies by venue but is generally set in rounds or
classroom style.

MINIMUM NUMBER OF FACILITATORS: Three (4-5 is ideal and 6 is maximum)

EDUCATIONAL QUALITY ASSURANCE: The SEA aspires to provide the highest quality of educational
offerings and the Educational Meetings Committee reviews all workshops thoroughly. The Committee pays
particular attention to the experience level of the facilitators and expects at least one facilitator to have
documented familiarity in workshop facilitation. (See faculty information section). The SEA is keen to support
junior faculty in presenting workshops and strongly encourages including more junior faculty inclusion in the
team as long as a more experienced lead faculty is present to offer support and mentorship. SEA members with
limited experience who lack local mentorship or support to develop their workshop ideas are invited to reach out
to the various SEA Committees or Committee Chairs for advice, support, mentorship and opportunities for
collaboration.
PEER COACHING
The goal for the SEA Peer Coaching Program is to promote faculty development in an informal and comfortable
setting. Peer coaching is more than just a formative evaluation. Peer coaching is a confidential and constructive
mentoring process that includes discussion of formative information; this information is not discussed nor shared
with anyone.

The SEA Educational Meetings Committee may assign a peer coach to observe particular workshops and offer
feedback, support and guidance to workshop facilitators. This is part of the SEA’s ongoing effort to provide
faculty development and continually improve the quality of our meetings.

Peer coaching is encouraged and available to all workshops presenters and can be requested within this
submission form. (More information on Peer Coaching).

WORKSHOP ASSESSMENT
The criteria for workshop assessment and acceptance are described below. Please remember, once accepted,
your workshop has successfully gone through a rigorous peer review process and this accomplishment can be
highlighted in your educator’s portfolio.

WORKSHOP DEVELOPMENT
In the development of your workshop please take the following considerations into account:

DEFINITION OF A WORKSHOP: “A workshop is a short-term educational experience that encourages active,

experiential learning and uses a variety of activities to meet the needs of diverse learners.”

Opening background information in the form of lecture with or without slides should take no more than 15
minutes.

Characteristics of a successful workshop include:

 Active involvement
 Application of new learning
 Behavior change as an outcome
 Variety of learning activities
 Interaction among participants
 Presenter acting as a facilitator not as a teacher or instructor
 Experiential learning experiences
 Relevant and practical information
 Emphasis on problem solving, skill building or development of competence

Please refer to supplemental material entitled “Designing Workshops That Promote Active Learning and
Behavior Change” by Teri L. Turner, MD, MPH, MEd and General guidelines for developing and running a
workshop by Melissa Davidson, MD and Bridget Marroquin, MD to assist you in planning your workshop on the
SEA website. Also see an example of a completed lesson plan and, once your workshop is accepted an
example of how to complete the CME matrix.

All leaders and facilitators must register for the meeting and provide full registration payment. Non-SEA
members are strongly encouraged to join SEA.

2
WORKSHOP TITLE
WORKSHOP LEAD FACULTY (please attach current CV)
OTHER WORKSHOP FACULTY (at least three)
Preferred Maximum Workshop Attendance
(Workshops are limited to 30 participants):
EQUIPMENT NEEDS (flip charts, projector, etc.)
SEA does NOT guarantee AV equipment for workshops. Flip charts,
markers and internet access are available.

NEEDS ASSESSMENT “GAPS IN KNOWLEDGE” Please describe any knowledge gap or needs assessment:
Have you conducted a needs assessment in relation to this
workshop? Do you have any information about gaps in knowledge,
competence or performance in your target audience?
For example, you may have identified a deficiency in faculty
competence in providing feedback in a Dept. survey and this
workshop is intended to address that need).
EDUCATIONAL NEEDS Please list educational needs you have identified:
Consider what kind of educational needs might be contributing to the Knowledge
gap(s) described above.
KNOWLEDGE – having information (knowing about adult learning Competence
theory)
COMPETENCE – knowing how to do something (e.g. skills, abilities, Performance
strategies), which has not yet been put into practice (e.g. being able
to write educational goals and objectives)
PERFORMANCE – the skills, abilities, and strategies one
implements in practice (e.g. communicating bad news in a
compassionate manner)

EDUCATIONAL GOALS Educational Goals (3 – 5) After attending this workshop participants will;
Please list the educational Goals for this workshop (between 3 and 5 1.
maximum) 2.
Remember the SMART acronym for writing educational goals: 3.
 Specific 4.
 Measurable 5.
 Achievable
 Relevant
 Time-bound
AND use action verbs to describe your goals for example “discuss”,
“describe”, “compare”, “demonstrate”, “distinguish” etc.
EDUCATIONAL TOOLS AND RESOURCES
Please attach any tools, worksheets or other resources you will
provide for your participants. The SEA office will not provide any
advanced reading materials to attendees. Please take this into
consideration when planning your workshop.

FACULTY EXPERIENCE
Please describe workshop faculty members’ experience in delivering
workshops.
(At least one faculty member must have experience in giving
workshops (e.g. attended the SEA Workshop on Teaching (SWOT),
/ attended a session on giving workshops at SEA or other meeting –
give meeting and venue / other higher-level educational degree or
experience).

PEER COACHING Would you like to be assigned a peer coach?

The goal for the SEA Peer Coaching Program is to promote faculty ☐ Yes
development in an informal and comfortable setting. Peer coaching ☐ No
is more than just a formative evaluation. Peer coaching is a
confidential and constructive mentoring process that includes
discussion of formative information; this information is not discussed
nor shared with anyone. Additional information on the SEA Peer
Coaching Program can be found here.
WORKSHOP FLOW
Time management is critical for your workshop; please describe a detailed plan of how your workshop will flow – see workshop flow planner.
Please describe what the participants will be doing and how long they will spend on each activity – be realistic in your time allocation for each
session (e.g. small group discussion, reporting back to big group, role playing etc.). Our evaluators require a detailed plan so they can determine
if your activity is indeed a workshop (not a mini-lecture).
WORKSHOP DAY PREFERENCE What day would you prefer to present your workshop?
Please select which day(s) you would prefer to present your workshop. ☐ Friday
Please note that Sunday will be a repeat of any workshops from Friday ☐ Saturday
and Saturday. ☐ Sunday (willing to repeat workshop)

4
WORKSHOP FLOW PLANNER (THIS SECTION MUST BE COMPLETED) (add more rows as required) (An example is available)
http://seahq.site-ym.com/page/WorkshopSubmission

Allotted Time Activity (Please describe what the participants will be doing - e.g: Facilitator
(Total 90 mins)  Participants will work in small groups on worksheet #1 describing the attributes of good feedback (5
minutes).
 Large group debrief and discussion on attributes of good feedback (5 mins).
 Small group discussion on what the barriers to feedback are …etc..

5
 WORKSHOP FACULTY INFORMATION
Workshop faculty not listed will not be included in the program. Please include affiliations and degrees as you
would like listed in the program.

Workshop Leader Name

Number of Workshops previously led ☐ 0-5 ☐ 5-10 ☐ 10 or more
Academic Title & Institution:
Full Address (City, State, Zip):
Business Phone / Cell Phone / Fax:

Email Address:
Department Chair Name & Email:
Faculty 1: Name:
Academic Title & Institution:
Full Address (City, State, Zip):
Business Phone / Cell Phone / Fax:
Email Address:
Department Chair Name & Email:
Faculty 2: Name:
Academic Title & Institution:
Full Address (City, State, Zip):
Business Phone / Cell Phone / Fax:
Email Address:
Department Chair Name & Email:
Faculty 3: Name:
Academic Title & Institution:
Full Address (City, State, Zip):
Business Phone / Cell Phone / Fax:
Email Address:
Department Chair Name & Email:
Faculty 4: Name:
Academic Title & Institution:
Full Address (City, State, Zip):
Business Phone / Cell Phone / Fax:
Email Address:
Department Chair Name & Email:

Add more rows as needed for extra faculty

By completing and submitting this form, I, as well as all faculty listed, acknowledge that we have committed to
participating in this workshop. If our workshop is accepted, each faculty member will register for the meeting. I have
also read and agreed to comply with SEA’s leadership expectations.

Name Date
 Resources and Examples on How to Develop a Workshop: Click Here to View Resources
1. ACCME Standards for Commercial Support.
2. Examples of a lesson plan (SEA Workshop on how to run a workshop – Davidson & Marroquin 2016).
3. CME matrix from previous successful SEA workshop (SEA Workshop on how to run a workshop – Davidson
& Marroquin 2016).
4. General guidelines for running a workshop (Davidson & Marroquin 2016).
5. Workshop Template (Davidson & Marroquin 2016).
6. Designing Workshops That Promote Active Learning and Behavior Change” by TL. Turner, MD, MPH, Med.
7. Tips on Writing Learning Objectives.

As a reminder, please request reserved time off from your institution AND REGISTER to attend this meeting.