CLIME - CAME

CLIME Participant Information 2024

Welcome to CLIME 2024! We look forward to meeting you in Vancouver! In preparation for the delivery we have outlined some things in your welcome email that we would like you to submit in advance of the delivery. You can do so via the form below.

If you have any issues with the form, or have questions, please do not hesitate to reach out to our CAME Association Manager, Mrs. Mary Cunningham at 613-614-4134.

Name

Email: *

Biography

Please complete the fields below to create a short 100-150 word biography which will be used for the CLIME workbook as an introduction to other participants.

Current Institution (s): *

Departmental Affiliation: *

Clinical Discipline: *

Advanced Training in MED ED:

Current Role as Medical Educator: *

Past Roles in Medical Education: *

Goal (s) for CLIME: *

Major Challenge (s) as a Medical Educator: *

Scholarly Interests: *

Personal Favourite (i.e. quote, artist, movie, etc.): *

Learning Objectives

Please let us know three learning objectives that you are hoping to get out of this course delivery:

Learning Objective #1 *

Learning Objective #2 *

Learning Objective #3 *

Leadership Challenge

We would like you to send a leadership challenge or change initiative in which you are currently involved in preparation for the Leadership component of CLIME. Please write this in the space provided below:

Current leadership challenge or change initiative: *

Food allergies or restrictions

Catering will be provided for breakfast and lunches each day, and dinner on Wednesday evening.

If you have any food allergies or restrictions, please let us know below:

File Upload - Please upload a high resolution headshot *

Click or drag a file to this area to upload.

Website

Contact

Mary Cunningham, Association Manager
Canadian Association for Medical Education (CAME)
150 Elgin Street, 10th Floor
Ottawa, Ontario K2P 1L4
Tel: 613 730-0687 ext 238
Fax: 613-730-1196
Email: mcunningham@afmc.ca